ACA Marketplaces - Research and Data from KFF

The Cost of the Individual Mandate Penalty for the Remaining Uninsured

Dec 9, 2015

Issue Brief

This analysis provides estimates of the share of uninsured people eligible to enroll in the Affordable Care Act marketplaces who will be subject to the individual mandate penalty, and how those penalties are increasing for 2016. It also provides estimates of the number of people who could have a zero-dollar contribution or pay less for health insurance than the penalty, due to premium subsidies, and the number of people who would pay more for a health plan than for their penalty.

Medicaid Premium Assistance Programs: What Information is Available About Benefit and Cost-Sharing Wrap-Around Coverage?

Dec 1, 2015

Issue Brief

This issue brief examines states’ approaches to administering wrap-around benefits and cost-sharing in long-standing Medicaid premium assistance programs and the information available to beneficiaries about how to access these program features.

In 73 Percent of Counties, Healthcare.Gov Enrollees Could Lower Their Silver Plan Premiums by Comparison Shopping

Nov 18, 2015

News Release

A new analysis from the Kaiser Family Foundation finds that in 73 percent of counties served by Healthcare.gov, people enrolled in the lowest-cost silver plan this year could save money on premiums by switching to a different silver plan in 2016.

Potential Savings from Actively Shopping for Marketplace Coverage in 2016

Nov 18, 2015

Issue Brief

This analysis looks at how the premiums for the lowest-cost silver plans in Affordable Care Act (ACA) Marketplaces changed between 2015 and 2016. The analysis examines premiums of the 2015 lowest-cost silver plans (in states that used Healthcare.gov in both 2015 and 2016) for a single 40 year-old adult to see how much these premiums increase in 2016 and whether enrollees could obtain lower premiums by switching plans.

Patient Cost-Sharing in Marketplace Plans, 2016

Nov 13, 2015

Issue Brief

This brief and accompanying slides examine cost sharing - deductibles, copayments and coinsurance - in 2016 insurance plans sold on the Affordable Care Act's (ACA) federally-facilitated marketplaces. The analysis looks at out-of-pocket limits, as well as cost sharing for hospital stays, physician visits, emergency room visits, and prescription drugs, for plans across the metal levels (platinum, gold, silver and bronze).

Analysis of Insurer Participation in 2016 Marketplaces

Nov 3, 2015

Issue Brief

As Marketplace enrollees begin to shop for coverage starting in 2016, the number of insurance choices available to them is changing in some parts of the country. In early 2015, an average of 6.1 insurer groups offered coverage in each state, up from an average of 5.0 in 2014.

Analysis of 2016 Premium Changes in the Affordable Care Act’s Health Insurance Marketplaces

Oct 26, 2015

Fact Sheet

The chart and tables below present an updated analysis of changes in premiums for the lowest- and second-lowest cost silver Affordable Care Act (ACA) marketplace plans in major cities in 48 states and the District of Columbia, where we were able to find complete data on rates for all insurers. This page will be updated as complete rate information becomes available for more states. More background can be found in our earlier analysis of 2016 rates.

Nearly Half of the Uninsured, or 15.7 Million People, Are Eligible for Medicaid or Subsidized Affordable Care Act Coverage, Analysis Finds

Oct 13, 2015

News Release

State-Level Numbers Provide Estimates of How Many Could Be Reached During Third ACA Open Enrollment Period Weeks away from the Affordable Care Act’s third open enrollment period, a new Kaiser Family Foundation analysis finds nearly half (49% or 15.7 million) of the 32.

The Wisconsin Health Care Landscape

Oct 7, 2015

Fact Sheet

Wisconsin has long been a leader among states in expanding coverage to its low-income residents since even before the major coverage provisions of the Affordable Care Act (ACA) took effect on January 1, 2014.

The ‘Private Option’ Medicaid Expansion in Arkansas Has Helped Reduce the Uninsured Rate and Uncompensated Care Costs While Boosting the State’s ACA Marketplace

Aug 26, 2015

News Release

A new issue brief from the Kaiser Family Foundation finds that Arkansas’ “private option” Medicaid expansion has helped reduce the number of uninsured and bring down uncompensated care costs while strengthening the state’s ACA marketplace.

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