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The Henry J. Kaiser Family Foundation

Insurer Participation on ACA Marketplaces, 2014-2017

Since the Affordable Care Act (ACA) health insurance marketplaces opened in 2014, there have been a number of changes in insurance participation as companies entered and exited states and also changed their footprint within states. The map below shows how insurance participation has changed from 2014 – 2017 in every county in the U.S. There are a number of areas in the country with just one exchange insurer. In 2017, about 21% of enrollees (living in 33% of counties) have access to just one insurer on the marketplace (up from 2% of enrollees living in 7% of counties in 2016).

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Premiums and Tax Credits Under the Affordable Care Act vs. the American Health Care Act: Interactive Maps

Compare county-level estimates of premiums and premium tax credits consumers would receive under the Affordable Care Act in 2020 with what they’d receive under the American Health Care Act legislation released March 6 by Republican leaders in Congress.

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The Henry J. Kaiser Family Foundation

Federal Government Could See Net Increase of $2.3 Billion in Costs in 2018 if ACA Cost-Sharing Reduction Payments Eliminated

Ceasing payments for the Affordable Care Act’s (ACA) cost-sharing reduction program could save $10 billion, but cost an additional $12.3 billion in premium tax credits – an estimated net increase of $2.3 billion, or 23 percent, in federal spending on marketplace subsidies – in 2018, if insurers continue to participate…

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The Effects of Ending the Affordable Care Act’s Cost-Sharing Reduction Payments

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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The Henry J. Kaiser Family Foundation

Analysis: Insurer Financial Indicators Show Signs of Stabilizing After Transition to ACA Marketplaces

A new Kaiser Family Foundation analysis of key insurer financial indicators suggests that the individual insurance market showed signs of stabilizing in 2016, although profitability remained below the level of performance prior to the opening of the Affordable Care Act’s insurance marketplaces. The new analysis tracks insurer financial performance in…

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Insurer Financial Performance in the Early Years of the Affordable Care Act

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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The Henry J. Kaiser Family Foundation

Why Trump’s Dealmaking Model Doesn’t Fit Health Care Policy

In this column as an Axios contributor, Drew Altman discusses President Trump’s threat to withhold cost sharing subsidies and questions whether his approach to deal making can bridge health care’s partisan and ideological divide. “Health policy is not like real estate,” he says.

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The Henry J. Kaiser Family Foundation

JAMA Forum: Is the Affordable Care Act Imploding?

In this April 2017 post, Larry Levitt discusses the current status of the Affordable Care Act’s health insurance marketplaces, and explains how the Trump administration’s choices — including whether to continue cost-sharing reduction payments to insurers — could influence stability of the marketplaces going forward. The post is now available at The JAMA Forum.

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The Henry J. Kaiser Family Foundation

A Warning From the Polls About Letting Obamacare “Explode”

In this column for Axios, Drew Altman sees a warning for the Trump administration and Republicans in the latest Kaiser Tracking Poll: the more they do to undermine the Affordable Care Act marketplaces the more the public is likely to hold them, and not the Democrats, accountable for the problems with the law.

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The Henry J. Kaiser Family Foundation

Web Briefing for Journalists – ACA Cost-Sharing Subsidies: How One Decision Could Disrupt Obamacare Marketplaces

Premiums, insurer choice, and overall stability of 2018 Affordable Care Act (ACA) marketplaces could be affected by decisions from Congress and the Trump Administration on the health law’s cost-sharing reduction provision. With a legal appeal pending on a lawsuit from the U.S. House, the federal government and Congress are in…

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The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.