Filling the need for trusted information on national health issues…

President Donald Trump and Republicans in Congress pursued several major efforts to repeal and replace the Affordable Care Act (ACA) but were unable to get a bill through the U.S. Senate in 2017. However, the tax bill enacted in late December eliminated the tax penalty for not obtaining health coverage beginning in 2019.  Some members of Congress have suggested other changes to stabilize the ACA individual insurance marketplaces. The Trump Administration’s actions and decisions also revamped the 2018 marketplace open enrollment season and may continue to reshape how Americans get health insurance.
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The Trump Administration’s Hidden Attacks on the Affordable Care Act

In a Washington Post op-ed, “The Trump administration’s hidden attacks on the Affordable Care Act,” Larry Levitt discusses the latest proposed regulations by the Trump administration to expand association health plans: changes that could wound the ACA insurance marketplace, but are unlikely to make it collapse.

Individual Insurance Market Performance in Late 2017

This brief examines insurer financial data for the first nine months of 2017 and finds further evidence that the individual market has been stabilizing and that insurers are regaining profitability, even as policy uncertainty and the repeal of the individual mandate complicates the outlook for 2018 and beyond.

JAMA Forum: The Health Care Law that Continues to Escape Death

In this November 2017 post for The JAMA Forum, Larry Levitt reviews the status of the Affordable Care Act following actions by the Trump administration widely perceived as designed to undermine the marketplaces. Despite assertions to the contrary, Levitt finds, “at least for now, the ACA seems very much alive.”

Kaiser Health Tracking Poll – November 2017: The Politics of Health Insurance Coverage, ACA Open Enrollment

This month marks the start of the ACA’s fifth open enrollment period and finds three in ten of the public saying they haven’t heard anything at all about the current open enrollment period. Despite their overall views of the ACA, the majority of the public (61 percent) – including most Democrats (71 percent), independents (58 percent), and half of Republicans (52 percent) – say that because President Trump and Republicans in Congress are now in control of the government, they are responsible for any problems with the health care law moving forward. This month’s tracking poll also examines public support for two variations of a Medicare buy-in proposal.

Poll: Half of the Public Would Blame the Trump Administration if Fewer People Enroll in Marketplace Plans This Year, and Most See President Trump and Republicans As Responsible for the ACA‘s Future 

Majorities of Democrats, Independents and Republicans Would Support Allowing People Younger Than Age 65 to Buy into Medicare Half (50%) of the public would say that if fewer people sign up for marketplace plans during this year’s open enrollment, it is mainly due to the Trump Administration, and most Americans…

How Premiums Are Changing In 2018

Maps illustrate how premiums in Affordable Care Act (ACA) marketplaces changed for 2018 by looking at the change in the lowest-cost bronze, silver and gold plans by county; counties where an individual’s tax credit covers the full premium of the lowest-cost bronze plan; and counties where the unsubsidized premium for the lowest-cost gold plan has a lower or comparable premium to the lowest-cost silver plan in 2018.

Insurer Participation on ACA Marketplaces, 2014-2018

Since the Affordable Care Act (ACA) health insurance marketplaces opened in 2014, there have been a number of changes in insurance participation as companies entered and exited states and also changed their footprint within states. The map below shows how insurance participation has changed from 2014 – 2018 in every county in the U.S. There are a number of areas in the country with just one exchange insurer. In 2018, about 26% of enrollees (living in 52% of counties) have access to just one insurer on the marketplace (up from 21% of enrollees living in 33% of counties in 2016).

How the Elections Could Put the Brakes on Anti-ACA Plans

In this Axios column, Drew Altman examines the role of health care in Virginia’s elections and the referendum on Medicaid expansion in Maine. His assessment: the elections and the referendum will have a bigger impact on upcoming policy debates about cutting Medicaid to pay for tax cuts, and state interest in Medicaid expansion, than on upcoming elections. 

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