Coverage


State Health Facts is a KFF project that provides free, up-to-date, and easy-to-use health data for all 50 states, the District of Columbia, and the United States. It offers data on specific types of health insurance coverage, including employer-sponsored, Medicaid, Medicare, as well as people who are uninsured by demographic characteristics, including age, race/ethnicity, work status, gender, and income. There are also data on health insurance status for a state's population overall and broken down by age, gender, and income.

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  • Understanding The Medicaid And CHIP Maintenance of Eligibility Requirements

    Fact Sheet

    This fact sheet examines the provisions in the Patient Protection and Affordable Care Act (ACA) that require states to maintain eligibility and enrollment standards for Medicaid and the Children's Health Insurance Program. These maintenance of eligibility (MOE) provisions were designed to keep Medicaid and CHIP coverage stable until coverage expands under the health reform law. Under the MOE provisions, to receive federal Medicaid funds, states cannot impose eligibility and enrollment policies that are more restrictive…

  • Uniform Coverage Summaries for Consumers

    Issue Brief

    This brief explains the proposed federal rule that requires private health plans to provide a short, easy-to-read uniform summary of benefits and coverage to all health insurance applicants and enrollees. The rule, which implements a provision in the Affordable Care Act (ACA), is intended to make it simpler for consumers to compare health plans before they enroll and understand their coverage once they are enrolled. Currently, consumers in employer-sponsored plans receive summaries of their benefits,…

  • Pulling it Together: The Most Popular Provision in the ACA?

    Perspective

    In our most recent monthly tracking poll, we asked the American people what elements of the health reform law they like and dislike. Surprisingly, the runaway favorite was a relatively obscure requirement that health plans provide consumers with a short, easy to understand description of their benefits and coverage. Sixty percent of the American people gave this requirement for greater transparency in health insurance benefits a very favorable rating, the only provision in the law…

  • Key Issues to Consider for Outreach and Enrollment Efforts under Health Reform

    Issue Brief

    The Affordable Care Act will significantly expand health coverage opportunities through an expansion in Medicaid and the creation of new health insurance exchanges in 2014. Effective outreach and enrollment efforts will be vital for assuring the expansions translate into increased coverage. Based on a discussion with federal and state officials and experts, this report identifies key issues to consider with regard to outreach and enrollment under reform. The discussion was part of an ongoing series…

  • The Sad History of Cost Containment as Told in One Chart

    Other Post

    As the nation once again faces double digit increases in health care costs, the seemingly unanswerable question of how to control the problem has suddenly returned to the nation's radar screen. This analysis by the Kaiser Family Foundation, published in the January 23, 2002 online version of the journal Health Affairs (under Web Exclusives) traces the effectiveness of government and private sector attempts to reign in health care costs over the past three decades and…

  • Where Is The Growth in the Uninsured Population Coming From?

    Other Post

    The Kaiser Commission on Medicaid and the Uninsured co-sponsored a policy briefing today to discuss the dynamics of the uninsured population in America. In 2001, the uninsured population grew by 1.4 million people. To increase understanding of who these people are and answer the question of whether the uninsured problem was shifting to higher-income Americans, findings from two new KCMU reports were presented. You may also view background materials on the uninsured and a webcast…

  • Pulling it Together: How the ACA Can Help The Homeless

    From Drew Altman

    Estimates are that there are approximately 630,000 people who are homeless on any given night in the U.S. -- about two-thirds in shelters and one-third on the street or without real shelter. Several million people are estimated to experience homelessness over the course of a year. About two-thirds are individuals and the balance are in families. These numbers are virtually identical to national estimates we used when I worked intensively on the issue of homelessness in the…

  • Putting Men’s Health Care Disparities On The Map: Access and Utilization Highlights

    Fact Sheet

    This fact sheet provides a brief overview of racial disparities in health access and utilization among men of different races in the United States. It draws findings from the report, Putting Men’s Health Care Disparities On the Map, which uses national data sources from multiple years to generate state-level estimates on a range of indicators of health status, access, and well-being for men of different racial and ethnic backgrounds. Men and women use health care…

  • The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis

    Report

    A central goal of the Patient Protection and Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and new Health Insurance Exchanges. Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. These decisions will have enormous consequences for health coverage for the low-income population. This analysis uses the Urban Institute’s Health Insurance Policy…

  • Immigrants’ Health Care Coverage and Access (Update)

    Fact Sheet

    Immigrants' Health Care Coverage and Access This fact sheet profiles the health coverage of the nation's immigrant population and the policy challenges the population faces in accessing health care services. Fact Sheet (.pdf)