New & Noteworthy
  • Insurer Filings Suggest COVID-19 Pandemic Will Not Drive Health Spending In 2022

    This brief reviews initial 2022 premium rate filings for Marketplace-participating individual market insurers in 13 states and the District of Columbia. Most expect health utilization patterns to return to pre-pandemic levels and therefore not factoring in any impact on their 2022 premiums.

  • Most private insurers are no longer waiving cost-sharing for COVID-19 treatment

    This analysis finds nearly three quarters of the largest health plans in each state are no longer waiving enrollees’ cost-sharing requirements for COVID-19 treatment as of August 2021. Insurers largely waived those costs early in the pandemic, before safe and effetive vaccines were available.

  • Health Insurer Financial Performance in 2020

    This analysis examines insurers’ financial data across markets through the end of 2020. It finds that average margins remained relatively high compared to recent years, suggesting many insurers remained profitable even as health spending rebounded and COVID-19 cases surged in the fall and winter.

  • How Corporate Executives View Rising Health Care Cost and the Role of Government

    This survey of executive decision-makers at over 300 large private employers finds most see rising health costs as a threat to their businesses and believe a broader government role will be necessary to control health costs and ensure coverage.

the essentials

Individual market

Latest Polling
13.7M
Total enrollment in the individual market in early 2019, down 5% from previous year. (Data Note)
-3.5%
Average reduction in premiums nationally for the ACA marketplaces’ benchmark silver plans in 2020. (Brief)
$1.3B
Estimated total rebates paid by insurers in 2019 due to the ACA’s medical-loss ratio requirements. (Brief)
$134
Average gross margins per member per month for individual market insurers in first quarter of 2019. (Brief)

Browse the Latest from KFF

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.