Network Adequacy Standards and Enforcement
Health plan networks affect patient access to care. This brief reviews options for setting and enforcing network adequacy standards and tools for making differences in plan networks more transparent.
Search
-
-
Medicaid Behavioral Health Services
Other PostKFF survey data on behavioral health services that cover adult beneficiaries in their programs.
-
Operating Margins Among the Largest For-Profit Health Systems Have Exceeded 2019 Levels for the Majority of the COVID-19 Pandemic
Issue BriefThis data note examines the financial performance of the three largest for-profit hospital systems in the U.S. during the COVID-19 pandemic. All three health systems have had positive operating margins that have exceeded pre-pandemic levels for the majority of the pandemic, including in the third quarter of 2022.
-
2022 Survey of ACA Marketplace Assister Programs and Brokers
ReportThis survey of Marketplace assister programs and brokers tracks the experiences of professionals signing people up for Affordable Care Act coverage. It also examines the role that these programs expect to play when the COVID-19 public health emergency (PHE) ends, potentially ending Medicaid eligibility for millions of Medicaid enrollees.
-
Addressing Misinformation Among Hispanic Adults: Snapshot from the KFF Health Misinformation Tracking Poll Pilot
Poll FindingThis report examines the exposure to, and belief in, health misinformation among Hispanic adults, as well as the media sources they use and the trust they place in health information received from various outlets. It is a companion to the KFF Health Misinformation Tracking Poll Pilot.
-
Global Health Funding in the FY 2023 Omnibus
Fact SheetUpdated on January 3, 2023 The FY 2023 Omnibus appropriations bill and accompanying reports, released by Congress on December 20, 2022, and signed by the President on December 29, 2022, includes funding for U.S. global health programs at the State Department, U.S. Agency for International Development (USAID), Centers for Disease Control and Prevention (CDC), and National Institutes of Health (NIH).[i] Funding provided to the State Department and USAID through the Global Health Programs (GHP) account,…
-
Hospital Charity Care: How It Works and Why It Matters
Issue BriefThis issue brief examines the role that hospital charity care programs play in helping patients who are unable to afford their care. It describes how hospital charity care programs work, the amount of charity care that hospitals provide, relevant federal and state regulation, the role of Medicare and Medicaid in helping hospitals afford charity care expenses, and policy proposals related to charity care programs.
-
Medicaid Enrollment among the Unemployed During the COVID-19 Pandemic and Beyond
Issue BriefThis brief reviews what we know about Medicaid enrollment changes during economic downturns, examines unemployment-linked Medicaid enrollments early on in the COVID-19 pandemic, and considers the implications for the unwinding of the national public health emergency (PHE).
-
KFF’s Kaiser Health News and NPR Launch Diagnosis: Debt, a Yearlong Reporting Partnership Exploring the Scale, Impact, and Causes of the Health Care Debt Crisis in America
News ReleaseKFF’s Kaiser Health News (KHN) and NPR today launched a yearlong investigative project that explores the scale, impact, and causes of the health care debt crisis in the United States. Drawing upon a special KFF poll conducted for the project, original data analysis, and hundreds of interviews, the investigation reveals a problem far more pervasive than previously reported. That’s because much of the medical debt is hidden as monthly installments paid via credit card, loans…
-
An Overview of Medicaid Work Requirements: What Happened Under the Trump and Biden Administrations?
Issue BriefThe Trump Administration aimed to reshape the Medicaid program by newly approving Section 1115 demonstration waivers that imposed work and reporting requirements as a condition of Medicaid eligibility. However, courts struck down many of these approvals and the Supreme Court recently dismissed pending challenges in these cases. Available implementation data suggests that work requirements were confusing to enrollees and result in substantial coverage loss, including among eligible individuals.