Medicare Advantage Glossary
This glossary serves as a guide to the sometimes arcane terms that inhabit the world of Medicare Advantage, the private plan alternative to traditional Medicare.
This glossary serves as a guide to the sometimes arcane terms that inhabit the world of Medicare Advantage, the private plan alternative to traditional Medicare.
Using Medicare Advantage encounter data, this analysis finds that 62% of Medicare Advantage enrollees have at least one chart review record and that diagnoses added from chart reviews increase payments from CMS to insurers for 17% of enrollees. The use of chart reviews varies across the largest Medicare Advantage insurers.
This analysis examines access to, and consumers ability to find information on, a new twice annual long-acting PrEP drug during the first ACA open enrollment period since its approval. Despite the drug widely being considered a major advance, early evidence suggests that insurance coverage and benefit design decisions may create barriers to access.
The survey provides an in-depth look at trends in employer-sponsored coverage in California, including premiums, cost sharing, offer rates, and employer strategies to manage costs and access to care, including comparisons to the nation overall.
The survey provides an in-depth look at trends in employer-sponsored coverage in California, including premiums, cost sharing, offer rates, and employer strategies to manage costs and access to care, including comparisons to the nation overall.
This report, based on a KFF/New York Times survey from fall 2025, provides data on health and health care experiences of immigrant adults ages 18 and over in the current policy environment. Four in ten immigrant adults overall and nearly eight in ten likely undocumented immigrants say they have experienced negative health impacts due to…
Amid the Trump administration’s increased immigration enforcement efforts, one in five immigrants say they personally know someone who has been arrested, detained or deported since January. Four in ten worry they or a family member could face such action. Many immigrants, including naturalized citizens and those who are lawfully present, say they feel less safe,…
A new KFF/New York Times Survey of Immigrants reveals deepening anxiety and fear among immigrants of all statuses amid the Trump administration’s intensified immigration enforcement and restrictive policies. Findings from the new survey are detailed in three KFF reports and help inform the reporting in a package of news stories by Times reporters.
Most immigrant voters disapprove of President Trump’s handling of immigration, including large majorities who disapprove of policies like “third country” deportations and efforts to end birthright citizenship. These views may have implications for future elections, as six in ten immigrant voters say the administration’s immigration enforcement actions have had an impact on which political party…
About one in eight adults (12%) say that they are currently taking a GLP-1 drug such as Ozempic or Wegovy either to lose weight or treat a chronic condition, an increase from 18 months ago, though the high costs of the medications remain a concern, a new KFF Health Tracking Poll finds.