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ALT The KFF Image has a black background that says Issue Brief in the top left corner. The main text says," How Medicare Advantage Rebates Disadvantage Medicare's Stand-Alone Drug Plan Market."
ALT Bar and line chart show the average number of insurers in the ACA Marketplace per state and plan selections, 2014 – 2026. The Number of ACA Marketplace Insurers Per State Dropped from a Record High in 2025
ALT Tracking Insurer Exits and Entries in the ACA Marketplaces. U.S. map shows that as of June 8, 2026, six carriers across 18 states have announced that they will exit the ACA Marketplaces partially or fully for plan year 2027.
ALT The KFF bar chart shows the average projected monthly premium for drug coverage based on the plan. The gap between Medicare Advantage Part D and Prescription Drug Program is that Medicare Advantage after the 6% cap and rebates monthly cost is $9, a $53 reduction where PDP is $44, a $16 reduction from stabilization demo.
ALT The image features a quote from Episode 07 of "KFF's The Business of Health with Chip Kahn" podcast. The quote is from David W. Bates, MD, MSc, from Mass General Brigham and Brigham and Women's Hospital. It says “From the health policy perspective, what we need to do first is to move to a value-based approach. If we do that, that will just put the goalposts in the right place and make it easier to hold organizations accountable. It will make measurement very easy and just a byproduct of delivering care. And, I think we would be in a much better place. We could get much better care at a much lower price, which at the end of the day is what everybody wants.” There's a small photo of Bates in the top right corner. The background is a gradient of purple hues with KFF's logo at the bottom right.
ALT The KFF spilt bar chart is split into 3 and shows the years top to bottom from 2021 to 2026. It shows the progression of how Part D stand-alone prescription drugs plans have fallen by half and Medicare Advantage drug plan options increased. Medicare Advantage in blue went from 27 option sin 2021 to 32 in 2026. Part D in purple went from 30 in 2021 to 11 in 20216. Benchmark PDPs in green went from 8 in 2021 to 2 in 2026.
ALT Bar and line chart show the average number of insurers in the ACA Marketplace per state and plan selections, 2014 – 2026. The Number of ACA Marketplace Insurers Per State Dropped from a Record High in 2025
ALT The KFF split bar chart shows how there has been Medicare Part D enrollment in stand-alone prescription drug plans increased from 24.8 million out of 46.1 million in 2020 to 24.9 million out of 56.3 million in 2026. However enrollment in Medicare Advantage drug plans remain higher in 2026 with 31.4 million out of 56.3 million.
ALT Tracking Insurer Exits and Entries in the ACA Marketplaces. U.S. map shows that as of June 8, 2026, six carriers across 18 states have announced that they will exit the ACA Marketplaces partially or fully for plan year 2027.
ALT The image is a bar chart showing "Combined U.S. and Global Fund Funding in Prior and Upcoming Funding Periods." For the prior period (2024-2026), the total funding is $17.9 billion, with $11.3 billion from the U.S. and $6.6 billion from the Global Fund. For the upcoming period (2027-2029), the total is $13.6 billion, with $8.0 billion from the U.S. and $5.6 billion from the Global Fund. There is a noted $4.3 billion, or 24%, decline. The source is KFF and related government agencies.
ALT The image is a bar chart showing "Combined U.S. and Global Fund Funding in Prior and Upcoming Funding Periods." For the prior period (2024-2026), the total funding is $17.9 billion, with $11.3 billion from the U.S. and $6.6 billion from the Global Fund. For the upcoming period (2027-2029), the total is $13.6 billion, with $8.0 billion from the U.S. and $5.6 billion from the Global Fund. There is a noted $4.3 billion, or 24%, decline. The source is KFF and related government agencies.
ALT Map of the US illustrating recent federal actions related to potential fraud and abuse as of June 5, 2026. The legend indicates CMS requests for information (3 states), federal payment deferrals for potential fraud and abuse (2 states), House Committee requests for more information (20 states) and oversight inquiry into alleged fraud (Ohio), and HHS-OIG denying Medicaid Fraud Control Unit annual recertification (Hawaii). Source: KFF tracking of federal program integrity action.
