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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  • Analysis of the Number of Workers Covered by Self-Insured Health Plans Under the Employee Retirement Income Security Act of 1974 and 1995.

    Report

    This report presents findings based upon the KPMG health benefits survey of private and public employers and explores the extent of ERISA preemption on health plans covering U.S. workers. Included is estimated data on the total number of workers covered by fully and partly self-insured health plans in 1993 and 1995, a summary of the ERISA provisions and case law dealing with health plans and an analysis of potential changes to ERISA. Note: This publication…

  • Understanding The Effects of The Medicare Part D Coverage Gap in 2008 and 2009

    Report

    This Kaiser Family Foundation study examines how the coverage gap in Medicare’s drug benefit known as the “doughnut hole” affects Medicare beneficiaries and their prescribing patterns. Based on actual claims data from 2008 and 2009, before the 2010 health reform law began to close the gap, the study finds that most Part D enrollees with high drug costs who fall in the gap one year are likely to do so in future years. Enrollees who…

  • Providing Outreach and Enrollment Assistance: Lessons Learned from Community Health Centers in Massachusetts

    Issue Brief

    As states and communities gear up to provide outreach and enrollment assistance under the ACA, the enrollment assistance experience of health centers in Massachusetts, where a major expansion of health coverage was implemented six years ago, offers valuable lessons that can help to inform current and emerging efforts by health centers and other community-based organizations to reach and enroll millions of low-income, uninsured Americans in health insurance.

  • Key Lessons from Medicaid and CHIP for Outreach and Enrollment Under the Affordable Care Act

    Issue Brief

    The Affordable Care Act (ACA) will significantly increase coverage options through an expansion of Medicaid and the creation of new health insurance exchange marketplaces. However, effective outreach and enrollment efforts will be key to ensuring that new coverage opportunities translate into increased coverage. Based on a review of existing research, this brief identifies five key lessons learned through previous Medicaid and CHIP experience to help inform outreach and enrollment under the ACA. The brief is…

  • Health Coverage for the Black Population Today and Under the Affordable Care Act

    Fact Sheet

    The Affordable Care Act (ACA) could help many uninsured Blacks through the law’s expansion of Medicaid and the creation of new health insurance exchange marketplaces with tax credits to help moderate-income people purchase coverage. This brief provides an overview of the Black population in the U.S., their health coverage today and the potential impact of the ACA coverage expansions.

  • Cover the Uninsured Week 2006 – Kaiser Family Foundation Resources

    Fact Sheet

    May 1-7, 2006, is Cover the Uninsured Week, organized by The Robert Wood Johnson Foundation and several partner organizations. The Kaiser Family Foundation has a wide range of resources on the topics of health coverage and the nation's uninsured population to assist you in your work related to these issues. The Robert Wood Johnson Foundation launches the Week at a May 2 event in Washington, D.C. Webcast Fact Sheets & Primer The Uninsured and Their…

  • Express Lane Eligibility Efforts: Lessons Learned from Early State Cross-Program Enrollment Initiatives

    Issue Brief

    The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) provides states new options to reach and enroll eligible but uninsured low-income children into Medicaid and CHIP. The law's Express Lane Eligibility (ELE) provisions enable state Medicaid and CHIP agencies to identify, enroll and recertify children by relying on eligibility findings from other programs, such as Head Start or Food Stamps, rather than having to re-analyze eligibility under their own rules. Further, CHIPRA authorizes greater…

  • The Arizona KidsCare CHIP Enrollment Freeze: How Has It Impacted Enrollment and Families?

    Issue Brief

    This paper examines the impact on enrollment and families of Arizona's Dec. 21, 2009, decision to freeze enrollment in KidsCare, the state's Children's Health Insurance Program (CHIP). The CHIP enrollment freeze, enacted in response to recession-driven state budget pressures, saved the state $12.9 million in FY 2011, but has also resulted in more than 100,000 children being placed on a waiting list for coverage and the loss of $41 million in federal matching funds. Issue…