On October 22, 2018, the Trump administration released new guidance on Section 1332 waivers established by the Affordable Care Act (ACA). The new guidance may encourage states to use 1332 waiver authority to make broader changes to insurance coverage for their residents, including to promote the sale of, and apply subsidies to, ACA non-compliant policies. On November 29, 2018, the Centers for Medicare and Medicaid Services (CMS) released a discussion paper outlining a set of waiver concepts designed to provide states with a roadmap for developing waiver applications that use the flexibility granted under the new guidance. This issue brief describes the new guidance, highlighting key changes from the 2015 guidance, describes how state waiver activity may change, particularly in light of the waiver concepts put forward by CMS, and discusses possible implications of the changes.
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The Number of Uninsured People Rose in 2017, Reversing Some of the Coverage Gains Under the Affordable Care Act
The number of uninsured people rose by nearly 700,000, to 27.4 million people, in 2017, reversing some of the coverage gains achieved under the Affordable Care Act, according to latest analysis of uninsured data by KFF (the Kaiser Family Foundation). It was the first uptick in the uninsured since implementation of…
This Medicaid waiver tracker page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. It includes resources such as an overview map and figure, detailed waiver topic tables, and explanatory briefs.
This fact sheet describes how coverage has changed under the ACA, examines the characteristics of the uninsured population, and summarizes the access and financial implications of not having coverage.
Using data from the Health System Dashboard, a new analysis looks at trends in health spending and outcomes in the United States between 1991 and 2016. While many U.S. health outcomes, like life expectancy and disease burden, have improved, the share of GDP devoted to health increased by 40%, and the U.S. still…
This analysis documents average deductibles and out-of-pocket limits for 2019 Affordable Care Act marketplace plans available on Healthcare.gov on all metal tiers, including silver plans after cost-sharing reductions are applied.
This fact sheet provides a snapshot of global malaria efforts and examines the U.S. government’s role in addressing malaria worldwide, including current programs, funding, and key issues.
In October 2018, in the run up to the midterm elections, KFF invited a group of journalists with a strong focus on health policy and state health reform to participate in a week-long fellowship focused on California’s health care landscape and the national implications of the state-level policy work there.…
In an Axios column, Drew Altman analyzes the political pros and cons of Medicare for All and Medicare buy-in plans for Democrats, and how they may handle it in Congress and the presidential campaign.
Karen Pollitz answers three questions on the Trump administration’s recent changes to the ACA Section 1332 state innovation waiver guidelines and the implications for consumers and state marketplaces in our new “Ask KFF” feature.