View the Latest: Employment
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Explaining Individual Coverage Health Reimbursement Arrangements (ICHRAs)
Issue BriefThis policy explainer describes what Individual Coverage Health Reimbursement Arrangements (ICHRAs) are and how do they differ from typical employer-sponsored health care plans.
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Occupations with Large Shares of Workers Who Rely on Individual Market Coverage
Policy WatchThis analysis examines the share of adult workers in occupations that rely more heavily on individual market coverage for health insurance, which is largely made up by the Affordable Care Act (ACA) Marketplaces.
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Part-Time Workers Have Less Access to Employer-Based Coverage Than Full-Time Workers
Issue BriefThis brief examines key characteristics of part-time workers and their access to coverage. Part-time workers are much less likely than full time ones to be offered health benefits by their employer or to have health coverage at all.
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About Half of Adults with ACA Marketplace Coverage are Small Business Owners, Employees, or Self-Employed
Issue BriefThis analysis estimates that 48% of adults under age 65 with individual market coverage are either employed by a small business with fewer than 25 workers, self-employed entrepreneurs, or small business owners. Because the vast majority of this coverage is purchased through the Affordable Care Act (ACA) Marketplaces, changes to the ACA, including the expiration of the enhanced premium tax credits at the end of this year, would have significant implications for what small business owners and workers spend on their health care.
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Different Data Source, But Same Results: Most Adults Subject to Medicaid Work Requirements Are Working or Face Barriers to Work
Issue BriefTo understand the impact of Medicaid work requirements included in the budget reconciliation bill being debated in Congress, KFF has undertaken two different analyses using different data sources. Using 2023 data from the Survey of Income and Program Participation, this analysis looks at the share of adults who work at least 80 hours per month, the reasons some do not, and how consistently individuals meet the requirement over a six-month period.
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Implications of Medicaid Work and Reporting Requirements for Adults with Mental Health or Substance Use Disorders
Issue BriefThis brief describes key challenges that Medicaid work requirements may pose for adults with mental health or substance use disorders. In May, the House passed a budget reconciliation bill that includes national Medicaid work requirements for adults in the Affordable Care Act (ACA) expansion group.
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Understanding the Intersection of Medicaid and Work: An Update
Issue BriefAmid renewed interest in Medicaid work requirements as part of a broader legislative package designed to significantly reduce federal Medicaid spending, KFF has updated its analysis of the work status and demographic characteristics of Medicaid enrollees with the latest data.
Data show that, in 2023, 92% of Medicaid adults were either working full or part-time (64%), or were not working due to barriers to work such as caregiving responsibilities, illness or disability, or school attendance -- reasons that counted as qualifying exemptions from the work requirements under previous policies.
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Mapping Hospital Employment By State
Issue BriefChanges to Medicaid funding, eligibility and enrollment could impact hospital finances. These interactive 50-state maps show the number of hospital employees by state and how hospital employment ranks among industry subsectors. Hospitals employed 6.7 million people in 2023, and more than 100,000 people in each of 23 states.
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Elimination of Federal Diversity Initiatives: Implications for Racial Health Equity
Issue BriefThis brief explains the potential impacts of the elimination of diversity and disparities-related initiatives under the Trump administration on racial health disparities.