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This brief examines the evolving requirements for insurers on HealthCare.gov to offer standardized plans that follow set cost sharing rules for covered benefits in addition to other plans they might offer. It also reviews how some state-run marketplaces have used standardized plans to limit cost sharing for insulin, mental health care, and other services.
In this new policy insight, Tricia Neuman examines current rules that may discourage seniors from switching from Medicare Advantage to traditional Medicare. The issue is explored through the lens of a 67-year-old beneficiary who faced difficult financial and health coverage choices in the aftermath of a serious biking accident.
KFF/EHF Survey Examines Residents’ Experiences and Views in 24 Hard-Hit Counties across Texas Two-thirds (66%) of residents across 24 Texas counties report that they suffered property damage, employment disruptions and/or lost income due to Hurricane Harvey, finds a new Kaiser Family Foundation/Episcopal Health Foundation survey. One in nine residents in these hardest-hit counties remain displaced from their homes three months after the storm. The survey also finds nearly half (45%) of those who suffered losses…
A new resource from the Kaiser Family Foundation enables users to keep abreast of Section 1115 Medicaid waivers that are pending or have been approved by the Centers for Medicare and Medicaid Services. KFF’s Medicaid waiver tracker includes interactive maps that allow users to view states’ approved and pending waivers according to category, including Medicaid expansion; work requirements; benefit restrictions, copays and healthy behaviors; enrollment and eligibility restrictions; managed long-term services and supports; and more.…
En este video, los residentes de Puerto Rico hablan sobre su vida cotidiana y puntos de vista de los esfuerzos de recuperación dos meses después del huracán María. Describen un clima de frustración, la pérdida de empleo y problemas económicas, la falta de servicios básicos como la electricidad y el efecto en la salud mental y física de la población
This data note provides the most up to date nationally representative estimates of insurance coverage changes among self-identified lesbian, gay and bisexual adults (LGB) under the ACA.
More than four years after the implementation of the Medicaid expansion included in the Affordable Care Act, debate and controversy around the implications of the expansion continue. Despite a large body of research that shows that the Medicaid expansion results in gains in coverage, improvements in access and financial security, and economic benefits for states and providers, some argue that the Medicaid expansion has broadened the program beyond its original intent diverting spending from the…
This literature review report summarizes evidence from nearly 200 studies on the effects of Medicaid expansion published between February 2020 and March 2021. These studies generally find beneficial impacts of expansion across a range of areas.
As the coronavirus pandemic kept people home last year, just over 1 in 4 Medicare beneficiaries had a telehealth visit with a doctor or other health professional between the summer and fall of 2020, a new KFF analysis finds. Once limited to beneficiaries living in rural areas, coverage of telehealth services by traditional Medicare has undergone rapid expansion during the pandemic, with new options including allowing some services to be provided via audio-only telephone. Medicare…
Two new KFF analyses examine how state Medicaid programs have utilized telehealth to increase access to behavioral health care during the pandemic and the strategies they are employing to address workforce shortages in behavioral health. The studies come as the 2022 Bipartisan Safer Communities Act legislation requires the federal government to issue telehealth guidance by the end of 2023, and the omnibus spending bill that Congress passed last month included several provisions affecting behavioral health…
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