Medicaid Enrollment & Spending Growth: FY 2025 & 2026
This brief analyzes Medicaid enrollment and spending trends for FY 2025 and FY 2026, based on data provided by state Medicaid directors as part of the 25th annual survey of Medicaid directors.
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8 Things to Watch for the 2026 ACA Open Enrollment Period
Issue BriefThe ACA Marketplace Open Enrollment season begins November 1, and with it comes looming changes to the enhanced premium tax credits, increases in out-of-pocket premium payments, new Marketplace eligibility rules, and more. Read our analysis of what these and other changes could mean for new and returning enrollees.
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What to Know About the Medicare Open Enrollment Period and Medicare Coverage Options
Issue BriefEach year, Medicare beneficiaries have an opportunity to make changes to how they receive their Medicare coverage during the nearly 8-week annual open enrollment period. This brief answers key questions about the Medicare open enrollment period and Medicare coverage options.
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A Look at Variation in Medicaid Spending Per Enrollee by Group and Across States
Issue BriefBecause states have flexibility in designing their programs, state Medicaid spending and enrollment varies across states. This data note provides an overview of total Medicaid spending per enrollee by eligibility group and state.
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The Affordable Care Act 101
FeatureThis Health Policy 101 chapter provides an overview of the Affordable Care Act (ACA), a major reform of the U.S. health care system aimed at reducing high uninsured rates and alleviating issues like high out-of-pocket costs and coverage exclusions for preexisting conditions. The ACA significantly altered many aspects of the health system and the chapter explores its mechanisms, such as the Health Insurance Marketplaces, and the evolution of the law since its passage in 2010…
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How Much and Why Premiums are Going up for Small Businesses in 2026
Issue BriefThis analysis of preliminary rate filings from 318 insurers across all 50 states and DC finds that small businesses with Affordable Care Act (ACA)-compliant plans could face a median premium increase of 11% for 2026.
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The Impact of H.R. 1 on Two Medicaid Eligibility Rules
Issue BriefThis issue brief describes the impact of H.R.1's 10-year delay in implementing provisions in two Medicaid eligibility rules that would have reduced red tape. The delayed rules are projected to decrease federal spending and future Medicaid and CHIP enrollment and increase coverage loss.
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2024 Uninsured Rate Held Steady, as ACA Marketplace Enrollment Offset Medicaid Declines
Quick InsightsThe ACA enhanced premium tax credit has driven growth in Marketplace enrollment and offset declines in Medicaid coverage, holding 2024's 8% uninsured rate at its near-historic low, according to new Census Bureau data.
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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…
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Medicare Beneficiaries by Type of Entitlement
State Health Facts Indicator