miércoles, 23 de septiembre de 2026
Overview of Health Coverage and Care for Individuals with Limited English Proficiency (LEP) Authors: Alisha Rao, Drishti Pillai, and Samantha Artiga Published: Sep 21, 2026
https://www.kff.org/racial-equity-and-health-policy/overview-of-health-coverage-and-care-for-individuals-with-limited-english-proficiency/
As of 2024, approximately 28.5 million people in the United States ages five and older have limited English proficiency (LEP). The federal government defines people with LEP as those who do not speak English as their primary language and who have a limited ability to read, write, speak, or understand English (also described as speaking English “less than very well”). Individuals with LEP disproportionately experience gaps in health insurance coverage and poor health outcomes, in part, due to language access barriers. Because people of color are more likely than White people to have LEP, these barriers can also exacerbate racial and ethnic disparities in health and health care.
Implementation of 2025 Reconciliation Law: Medicaid Managed Care Rate Setting Uncertainty & Potential Plan Exits Authors: Jada Raphael and Elizabeth Hinton Published: Sep 21, 2026
https://www.kff.org/medicaid/implementation-of-2025-reconciliation-law-medicaid-managed-care-rate-setting-uncertainty-potential-plan-exits/
Managed care is the dominant delivery system for Medicaid enrollees with over three-quarters of Medicaid beneficiaries nationally enrolled in comprehensive managed care organizations (MCOs), accounting for half of total Medicaid spending in FY 2024. The 2025 federal budget reconciliation law is expected to create managed care rate setting challenges for states as the Medicaid provisions impacting enrollment and spending, including program financing changes, work requirements, and more frequent eligibility redeterminations for expansion adults, are rolled out. These changes can create uncertainty about enrollment and acuity as states and their actuaries develop capitation rates. Amid this uncertainty, executives from Elevance Health said during a July earnings call that they were exiting DC’s Medicaid market and expect to exit additional markets. Since then, Louisiana announced an Elevance Health plan will exit at the end of 2026. While MCO entries and exits in specific states or markets are not uncommon, decisions by Elevance Health and the other large, multi-state parent firms about overall participation in Medicaid markets could have broad implications for states, enrollees, and providers, given their large share of national MCO enrollment. This policy watch examines recent and anticipated managed care rate setting challenges and the potential implications of MCO exits.
What We Know from the Latest PEPFAR Data: Analysis of FY 2025 Quarter 4 Results Authors: Jennifer Kates, Anna Rouw, and Allyala Nandakumar Published: Sep 21, 2026
https://www.kff.org/global-health-policy/what-we-know-from-the-latest-pepfar-data-analysis-of-fy-2025-quarter-4-results/
Since the start of the second Trump administration, the President’s Emergency Plan for AIDS Relief (PEPFAR), the U.S. global HIV/AIDS program credited with saving 26 million lives, has undergone significant changes and disruptions as part of a broader foreign aid review. Recent changes include: a temporary stop work order and eventual limits to what services could be continued; the cancellation of numerous PEPFAR awards; and a reorganization of U.S. global health programs, including the launch of a new “America First Global Health Strategy” which is anchored to bilateral agreements with countries, a focus on frontline commodities and services, and a shift from disease-specific programming to a more integrated approach. While modeling estimates and field surveys have provided some information about the potential impact of these changes and disruptions, there has been limited data available for such assessments. PEPFAR’s flagship data platform has historically posted financial and program level results, including from PEPFAR’s Monitoring, Evaluation, and Reporting (MER) system (MER was launched more than a decade ago). However, the data platform was temporarily removed in early 2025 and, when restored, it did not include any program data from FY 2025.
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