This map shows the counties at risk of having no insurer on the marketplace (exchange), created by the Affordable Care Act, in 2018, based on a Kaiser Family Foundation analysis of insurer rate filings and news reports.
President Donald Trump and Republicans in Congress have pledged to repealing and replacing the Affordable Care Act (ACA). On May 4, 2017, the U.S. House of Representatives passed the American Health Care Act (AHCA), the House Republicans’ plan to repeal and replace the ACA. In July, the Senate debated the AHCA, the Senate-drafted Better Care Reconciliation Act (BCRA) and several other Republican-authored plans but failed to pass any of the proposals. Since then, some Senators and Congressmen have suggested smaller bi-partisan changes to the ACA aimed at stabilizing its insurance marketplaces.
Featured ACA’s Future Resources
This analysis estimates that total federal spending on Affordable Care Act marketplace subsidies would rise $2.3 billion, or 23 percent, in 2018 if payments for the cost-sharing reduction program were eliminated and insurers increased premiums to compensate. Established to reduce out-of-pocket costs for marketplace enrollees with lower incomes, the cost-sharing payments are being challenged in a lawsuit from the U.S. House.
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Related ACA’s Future Resources
- It’s Not Obamacare Anymore. It’s Our National Health-Care System.
- Compare Proposals to Replace The Affordable Care Act
- Public Wants Republicans to Work with Democrats on Health Care
- Kaiser Health Tracking Poll – July 2017: What’s Next for Republican ACA Repeal and Replacement Plan Efforts?
- What’s at Stake with ACA Repeal?
- Public Opinion on ACA Replacement Plans: Interactive
- Premiums and Tax Credits under the Affordable Care Act vs. the Senate Better Care Reconciliation Act: Interactive Maps
- Premiums under the Senate Better Care Reconciliation Act
- Association Health Plans for Small Groups and Self-Employed Individuals under the Better Care Reconciliation Act
- How the Senate Better Care Reconciliation Act (BCRA) Could Affect Coverage and Premiums for Older Adults
- Would States Eliminate Key Benefits if AHCA Waivers are Enacted?
- High-Risk Pools For Uninsurable Individuals
- Pre-existing Conditions and Medical Underwriting in the Individual Insurance Market Prior to the ACA
- Kaiser Health News' Repeal and Replace Watch (khn.org)
This data note looks at trends in insurer financial performance in the individual market, as the Affordable Care Act (ACA) marketplaces were established, finding that the market showed signs of stabilizing in 2016.
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Following the U.S. Senate’s failed vote on the “skinny repeal”, the latest Kaiser Health Tracking Poll finds that the majority of the public say it is a “good thing” that the Senate did not pass the bill that would have repealed and replaced the ACA. A large share of Americans think President Trump and his administration should do what they can to make the current health care law work and a majority of the public want to see bipartisan efforts to improve the 2010 health care law. However, about half of Republicans and Trump supporters would like to see Republicans in Congress keep working on a plan to repeal the ACA, and most Republicans and Trump supporters endorse using hard-ball tactics to encourage Democrats to start negotiating with President Trump on a replacement plan. The majority of the public are also unaware that health insurance companies choosing not to sell insurance plans or charging higher premiums in certain marketplaces only affect those who purchase their own insurance on these marketplaces.
Poll: Large Majority of the Public, Including Half of Republicans and Trump Supporters, Say the Administration Should Try to Make the Affordable Care Act Work
Most Republicans Are “Disappointed” But Not “Angry” That Repeal-and-Replace Legislation Did Not Pass Senate After the Senate’s failure to pass legislation to repeal and replace the Affordable Care Act, the latest Kaiser Health Tracking Poll finds that eight in 10 Americans (78%) say President Trump and his administration should do…
Early Analysis of 21 Major Cities Tracks ACA Marketplace Premium Changes, Insurer Participation, Uncertainty
As insurers grapple with continuing uncertainty surrounding 2018 Affordable Care Act (ACA) marketplaces, a new Kaiser Family Foundation analysis of initial filings in 21 major cities finds that changes in 2018 benchmark silver plan premiums are likely to range widely, from a decrease of 5 percent in Providence, R.I., to…
In this column for Axios, Drew Altman presents new data analysis showing how many people are impacted by premium increases in the small group market, and discusses the implications.
This analysis looks at preliminary premiums and insurer participation in Affordable Care Act (ACA) marketplaces, noting the effects of uncertainty surrounding individual mandate enforcement and cost-sharing reduction payments.
With the effort to repeal or replace the Affordable Care Act seemingly on hold or even dead, Larry Levitt discusses what the Trump administration could do to make the ACA successful – including providing clarity around individual mandate enforcement and cost-sharing reduction payments; maintaining outreach and consumer assistance; and encouraging insurers to participate in the individual insurance marketplaces. The post is now available at The JAMA Forum.
If Congress abandons efforts to repeal and replace the Affordable Care Act (ACA), President Trump has said he would “let Obamacare fail.” This Q&A examines what could happen to the individual insurance marketplaces if the ACA, also called “Obamacare,” remains the law and what it might mean to let Obamacare fail.
With congressional Republicans’ efforts to repeal the Affordable Care Act on hold, a new issue brief from the Kaiser Family Foundation answers questions about the current state of the 2010 health law, zeroing in on the individual insurance marketplaces that the law established. Questions addressed by the brief include: Is…
In this Washington Post op-ed, Drew Altman and Larry Levitt discuss why the latest Republican effort to repeal and replace the Affordable Care Act failed and what it will take for congress and the administration to address the next challenge, providing long-term stability to the ACA marketplaces.