Private Insurance
Marketplace Eligibility Among the Uninsured: Implications for a Broadened Enrollment Period and ACA Outreach
- Consumer Protections
Surprise Medical Bills: New Protections for Consumers Take Effect in 2022
This summarizes key provisions of the No Surprises Act, enacted in December 2020 to address the problem of unexpected medical bills, and issues that could arise during implementation ahead of its Jan. 1, 2022 effective date.
- INDIVIDUAL MARKET
Claims Denials and Appeals in ACA Marketplace Plans
This brief assess claims denials and appeals among issuers offering individual market coverage on healthcare.gov and finds that 17% of in-network claims were denied by issuers in 2019. Consumers appealed less than 1% of denied claims.
- Health Costs
Health Insurer Financial Performance Through September 2020
- Health Costs
2020 Employer Health Benefits Survey
Is COVID-19 a Pre-Existing Condition? What Could Happen if the ACA is Overturned
If the ACA is overturned, federal law protection for people with pre-existing health conditions would end. This post examines what that could mean for people in the time of COVID-19, including whether and how insurers could deny coverage to people who have had COVID or other pre-existing conditions.
- Courts
Potential Impact of California v. Texas Decision on Key Provisions of the Affordable Care Act
On Nov. 10, the Supreme Court will hear arguments in a case that seeks to overturn the Affordable Care Act. This fact sheet summarizes the major provisions of the ACA, illustrating the breadth of its changes to the health care system.
- Affordable Care ACt
Pre-Existing Condition Prevalence for Individuals and Families
This analysis estimates that almost 54 million people have pre-existing health conditions that would likely have made them uninsurable in the individual markets that existed in most states before the ACA..
- waivers
Tracking Section 1332 State Innovation Waivers
Through Section 1332 of the Affordable Care Act (ACA), states may apply for waivers to alter key ACA requirements in the individual and small group insurance markets.
Individual market
Latest Polling
Latest from Kaiser Health News
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Readers and Tweeters Dispense Timely Advice for Difficult Times
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Becerra Has Long Backed Single-Payer. That Doesn’t Mean It Will Happen if He’s HHS Secretary.
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KHN’s ‘What the Health?’: Staffing Up at HHS
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New California Law Makes It Easier to Get Care for Mental Health and Substance Abuse
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New Single-Payer Bill Intensifies Newsom’s Political Peril