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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  • Web Briefing for Media: 2015 Kaiser/HRET Employer Health Benefits Survey

    Event Date:
    Event

    The Kaiser Family Foundation and the Health Research & Educational Trust (HRET) hosts an annual reporters-only web briefing to release the 2015 Kaiser/HRET Employer Health Benefits Survey. The 17th annual Kaiser/HRET survey provides a detailed look at the current state of employer-based coverage and trends in private health insurance, including premiums, worker and employer contributions, firm offer rates, plan deductibles, and other cost-sharing requirements, with breakouts for small and large firms.

  • cost sharing

    Cost Sharing Requirements Could Have Implications for Medicaid Expansion Enrollees With Higher Health Care Needs

    Issue Brief

    This brief uses 2021 Medicaid claims data to examine utilization among Medicaid expansion adults and estimate how much cost sharing these enrollees could be required to pay under the new requirement if all states imposed the maximum cost sharing amounts. This is an illustrative analysis intended to describe which enrollees may be subject to the most cost sharing under the new provisions rather than estimate exactly what expansion enrollees may actually pay.

  • Medicaid at 50: A Look Back – And Ahead

    Event Date:
    Event

    Medicaid, the main health insurance program for low-income people and the single largest source of public coverage in the U.S., turns 50 this year. In that time, it has grown to cover nearly 70 million Americans and become a key source of financing for safety net hospitals and health centers, as well as the main source of coverage and financing of long-term care. The program continues to be a focus of policy debate and partisan…

  • Improving the Affordability of Coverage through the Basic Health Program in Minnesota and New York

    Issue Brief

    To date, Minnesota and New York are the only states to have adopted a Basic Health Program (BHP), an option in the Affordable Care Act (ACA) that permits state-administered coverage in lieu of marketplace coverage for those with incomes below 200% of the federal poverty level (FPL) who would otherwise qualify for marketplace subsidies. BHP covers adults with incomes between 138-200% of FPL and lawfully present non-citizens with incomes below 138% FPL whose immigration status…

  • Pre-existing Conditions and Medical Underwriting in the Individual Insurance Market Prior to the ACA

    Issue Brief

    This brief reviews medical underwriting practices by private insurers in the individual health insurance market prior to 2014, and estimates how many American adults could face difficulty obtaining private individual market insurance because of a pre-existing condition if the Affordable Care Act (also known as Obamacare) were repealed or amended and such practices resumed.

  • Medicaid Enrollment Patterns During the Postpartum Year

    Issue Brief

    A provision in the American Rescue Plan Act (ARPA) of 2021 gives states a new option to extend Medicaid postpartum coverage to 12 months via a state plan amendment. This new option took effect on April 1, 2022 and is available to states for five years. Using Medicaid claims data from 2018, this brief examines enrollment patterns in the year following childbirth.