Ten Things to Watch for 2025 ACA Open Enrollment
This blog post details ten things to know about the 2025 open enrollment period.
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Dobbs-era Abortion Bans and Restrictions: Early Insights about Implications for Pregnancy Loss
Issue BriefThis brief examines pregnancy loss management in the Dobbs era and explores how limiting or banning abortion may have negative consequences on people experiencing miscarriage or stillbirth.
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Coverage of Abortion in Large Employer-Sponsored Plans in 2023
Issue BriefThis brief presents findings from the 2023 KFF Employer Health Benefits Survey on coverage of abortion services in large employer-sponsored health plans, changes employers made to abortion coverage since the 2022 Supreme Court ruling, and employers’ provision of financial assistance for travel out of state to obtain an abortion.
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Insurers’ Preliminary Rate Filings Anticipate Biggest Increases in ACA Marketplace Plan Premiums Since 2018
News ReleaseThis analysis of preliminary rate filings submitted by 105 ACA Marketplace insurers in 19 states and DC shows that ACA Marketplace insurers are requesting a median premium increase of 15% for 2026, which would represent the largest hike in premiums since 2018, the last time policy uncertainty contributed to sharp premium growth. The scheduled expiration of enhanced tax credits and impact of tariffs on some drugs, medical equipment, and supplies are among the factors pushing…
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Insurance Coverage of OTC Oral Contraceptives: Lessons from the Field
ReportThis report is based on 35 structured interviews conducted from January to August 2023, with nearly 80 experts and key players such as pharmacists, health plans, and state Medicaid officials involved in the coverage and provision of OTC contraception in seven states with one or more of these coverage approaches (IL, NJ, NM, NY, OR, UT, and WA). It discusses the challenges and successes in coverage under private health insurance and Medicaid and reviews policy…
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Employers Use of Center of Excellence Programs as a Pathway for Behavioral Health Services
Policy WatchThis post explores the prevalence of employer-sponsored health plans that use Center of Excellence (COE) programs as a way to provide enrollees with specialized care for behavioral health services. One in 10 large employers (with at least 1,000 workers) offer such programs now.
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What is the Centers for Medicare and Medicaid Services’ New AHEAD Model?
Issue BriefIn September 2023, the Centers for Medicare and Medicaid Services (CMS) announced a new opportunity for states to leverage federal funding on health care: the Advancing All-Payer Health Equity Approaches and Development (AHEAD) model. With this model, CMS – under the auspices of the CMS Innovation Center, also known as CMMI -- aims to reduce the rate of growth in health care spending, improve people's health, and reduce disparities in health outcomes. This issue brief…
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Benchmark Survey: Annual Family Premiums for Employer Coverage Rise 7% to Nearly $24,000 in 2023; Workers Contribute $6,575 on Average Now, But Potentially More Soon
News ReleaseAmid rising inflation, annual family premiums for employer-sponsored health insurance climbed 7% on average this year to reach $23,968, a sharp departure from virtually no growth in premiums last year, the 2023 benchmark KFF Employer Health Benefits Survey finds. On average, workers this year contribute $6,575 annually toward the cost of family premium, up nearly $500 from 2022, with employers paying the rest. Future increases may be on the horizon, as nearly a quarter (23%)…
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Black and Hispanic Adults with Fair or Poor Mental Health Are Less Likely Than White Adults to Say They Received Mental Health Services, Reflecting Cost Concerns and Other Barriers to Care
News ReleaseA new KFF analysis of our 2023 Survey of Racism, Discrimination, and Health finds that Black (39%) and Hispanic (36%) adults who report fair or poor mental health are less likely than White (50%) adults to say they received mental health services in the past three years. Such disparities reflect several barriers to mental health care identified by these adults. In addition to cost concerns and being too busy or not being able to get…
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A Look at Medicaid Enrollment and Finances of the Five Largest Medicaid Managed Care Plans
Issue BriefThis brief examines enrollment and financial data through the end of September 2024 from quarterly company earnings reports and calls, financial filings, and other company materials as well as from national administrative data.