View the Latest: Enrollment
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Explaining Health Care Reform: Questions About Health Insurance Subsidies
Issue BriefThis brief provides an overview of the financial assistance provided under the ACA for people purchasing coverage on their own through health insurance Marketplaces (also called exchanges).
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Medicaid/CHIP Child Participation Rates
State Health Facts Indicator -
As States Prepare to Resume Disenrollments, Medicaid/CHIP Enrollment Will Reach Nearly 95 million in March, and the Pandemic-Era Enrollment Growth of 23 million Accounts for 1 in 4 Enrollees
News ReleaseA new KFF analysis estimates that enrollment in Medicaid and the Children’s Health Insurance Program (CHIP) will have grown by 23.3 million enrollees, to nearly 95 million, by the end of March. That is when the federal continuous enrollment provision expires, and states can resume disenrollments, which have been paused since February 2020. Millions of beneficiaries are expected to be disenrolled over the next year, and the new estimates illustrate the extent to which enrollment…
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State Policy Choices Are Likely to Affect the Extent of Medicaid Enrollment Declines During the Unwinding Period
Issue BriefThe unwinding of the continuous enrollment provision will play out differently across the states based on policy choices states have made and variation in their administrative infrastructures. Some states have adopted multiple policies that are more likely to promote continued coverage among those who remain eligible.
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What People Don’t Realize About the Affordable Care Act
From Drew AltmanDrew Altman, in The Wall Street Journal’s Think Tank, discusses what people don’t realize about the ACA: it is engineered for variation and it is up to Congress and the states to learn from that variation.
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States’ Management of Medicaid Home Care Spending Ahead of H.R. 1 Effects
Issue BriefUsing data from the 23rd KFF survey of officials administering Medicaid home care programs, this issue brief describes the mechanisms states are currently using to limit Medicaid spending on home care and their plans for adopting new mechanisms in state fiscal year (FY) 2026.
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A Medicaid Per Capita Cap on the ACA Expansion Population: State by State Estimates
Issue BriefThis analysis examines the potential impacts on states and Medicaid enrollees of implementing a per capita cap on the federal share of Medicaid spending for the ACA Medicaid expansion population only, which is another proposal that has been discussed by members of Congress.
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Medicaid Enrollment & Spending Growth: FY 2025 & 2026
Issue BriefThis 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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Recent Trends in Commercial Health Insurance Market Concentration
Issue BriefCommercial health insurance markets remain highly concentrated across coverage types. However, the individual market, which consists mostly of the ACA Marketplaces, has attracted more insurers and witnessed greater insurer competition across a variety of measures since the implementation of the enhanced premium tax credits in 2021, according to a new Healthy System Tracker analysis.