Health Care Financing - Research and Data from KFF

Financial Performance of Medicare Advantage, Individual, and Group Health Insurance Markets

Aug 5, 2019

Issue Brief

Three key private health insurance markets -- Medicare Advantage, the individual market and the fully-insured group market -- appear to be financially healthy and attractive to insurers. The private Medicare Advantage market generates significantly larger gross margins per person than the individual market or fully-insured market. The future of these markets has become a focus for policymakers amid the debate over Medicare for All.

House Appropriations Committee Approves FY 2021 Health and Human Services (HHS) Appropriations Bill

Jul 14, 2020

Fact Sheet

The House Appropriations Committee approved the FY 2021 Labor, Health and Human Services, and Education (LHHS) appropriations bill (and accompanying report) on July 13, 2020.

Medicaid Provisions in the American Rescue Plan Act

Mar 18, 2021

Issue Brief

The American Rescue Plan Act, the COVID-19 relief package that became law on March 11, 2021, contains a number of provisions designed to increase coverage, expand benefits, and adjust federal financing for state Medicaid programs. These provisions are briefly described below and summarized in Table 1. Separate briefs summarize provisions in the new law relating to the Marketplaces and public health.

FAQs on Medicare Financing and Trust Fund Solvency

May 29, 2024

Issue Brief

In discussions of Medicare’s financial condition, attention frequently centers on one specific measure—the solvency of the Medicare Hospital Insurance (HI) trust fund, out of which Medicare Part A benefits are paid. Based on current projections from the Medicare Board of Trustees, the HI trust fund is projected to be depleted in 2036, 12 years from now. These FAQs answer key questions about Medicare financing and trust fund solvency.

Two New Analyses: House COVID-19 Relief Plan Would Temporarily Lower Marketplace Premiums for Millions and More than Offset Short-Term State Costs to Expand Their Medicaid Programs

Feb 18, 2021

News Release

The House COVID-19 relief proposal would temporarily lower what millions of Marketplace enrollees and uninsured potential enrollees would pay toward premiums and would provide states that have not expanded their Medicaid programs a financial boost that would more than offset their costs initially, two new KFF analyses find.

Medicaid and State Financing: Key Indicators to Watch Through Pandemic and Recovery

Sep 20, 2021

Issue Brief

The health and economic effects of the pandemic have significant implications for state Medicaid programs, as more people become eligible and enroll in Medicaid at the same time that states may face declines in revenues. This brief presents current data for key economic indicators to help understand how they could affect Medicaid enrollment and spending.

House Appropriations Committee Releases FY 2022 Labor, Health and Human Services, Education, and Related Agencies (LHHS) Appropriations Bill

Jul 14, 2021

Fact Sheet

The House Appropriations Committee released the FY 2022 Labor, Health and Human Services, Education, and Related Agencies (LHHS) appropriations bill on July 11, 2021 and accompanying report on July 14, 2021.

House Appropriations Committee Releases the FY22 State and Foreign Operations (SFOPs) Appropriations Bill

Jun 30, 2021

Fact Sheet

The House Committee on Appropriations released its FY 2022 State, Foreign Operations, and Related Programs (SFOPs) appropriations bill on June 28, 2021 and accompanying report on June 30, 2021. The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID).

Costs and Savings under Federal Policy Approaches to Address Medicaid Prescription Drug Spending

Jun 22, 2021

Issue Brief

This brief analyzes leading federal approaches to address Medicaid prescription drug spending, discusses (where available) a range of cost estimates for each policy, and assesses what drives those estimates or where there is uncertainty in them.

Senate Appropriations Committee Releases FY 2021 State and Foreign Operations (SFOPs) and Labor Health and Human Services (Labor HHS) Appropriations Bills

Nov 11, 2020

Fact Sheet

The Senate Appropriations Committee released its FY 2021 State, Foreign Operations, and Related Programs (SFOPs) (links to bill and report) and Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) (links to bill and report) appropriations bills and accompanying reports on November 10, 2020.

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