Pre-existing Conditions and Medical Underwriting in the Individual Insurance Market Prior to the ACA December 12, 2016 Issue Brief This brief reviews medical underwriting practices by private insurers in the individual health insurance market prior to 2014, and estimates how many American adults could face difficulty obtaining private individual market insurance because of a pre-existing condition if the Affordable Care Act (also known as Obamacare) were repealed or amended and such practices resumed.
An Estimated 52 Million Adults Have Pre-Existing Conditions That Would Make Them Uninsurable Pre-Obamacare December 12, 2016 News Release A new Kaiser Family Foundation analysis finds that 52 million adults under 65 – or 27 percent of that population — have pre-existing health conditions that would likely make them uninsurable if they applied for health coverage under medical underwriting practices that existed in most states before insurance regulation changes…
Repeal of Obamacare Could Cause the ‘Death Spiral’ Critics Warned About December 12, 2016 Perspective Originally published in The Los Angeles Times, this perspective examines the potential implications for the individual market if key parts of the Affordable Care Act were repealed without a replacement plan.
Major Considerations for Repealing and Replacing the ACA January 31, 2017 Event The Kaiser Family Foundation and the Committee for a Responsible Federal Budget host a public forum to discuss the process and implications of repealing and replacing the Affordable Care Act, including the implications of using the budget reconciliation process to repeal the ACA, and what an ACA replacement could mean for health insurance coverage and costs.
Pre-ACA Market Practices Provide Lessons for ACA Replacement Approaches February 16, 2017 Issue Brief This brief examines insurance practices from before the Affordable Care Act (also known as Obamacare) and highlights challenges in providing access and stable coverage for people, along with issues that any ACA replacement plan will need to address.
Summary of Coverage Provisions in the Patient Protection and Affordable Care Act July 17, 2012 Issue Brief This short summary describes the health coverage provisions contained in the final version of the Affordable Care Act signed into law in March 2010, including the individual mandate requirements, expansion of public programs, health insurance exchanges, changes to private insurance and employer requirements.
Visualizing Health Policy: Health Coverage Under the Affordable Care Act (ACA) December 20, 2012 Report Related ResourcesStudy Highlights Role of Geography and Plan Shopping Under Medicare Premium Support SystemMedicare Part D: A First Look at Part D Plan Offerings in 2013The Medicare Prescription Drug Benefit – An Updated Fact SheetOnline Consumer Guide to Medicare The latest Visualizing Health Policy infographic is a flowchart illustrating the mechanisms…
Kaiser Survey Probes Health Insurance Brokers’ Views on Insurance Trends, ACA June 15, 2012 Perspective A new nationally representative survey of 500 health insurance agents and brokers working in the individual and small group markets by the Kaiser Family Foundation explores their outlook on market trends and views on the Affordable Care Act (ACA). The survey finds that many agents are seeing steep increases in premiums…
Beyond Rebates: How Much Are Consumers Saving from the ACA’s Medical Loss Ratio Provision? June 6, 2013 Perspective The Medical Loss Ratio (MLR) provision of the Affordable Care Act (ACA) saved consumers an estimated $2.1 billion last year, in the form of lower premiums and rebates, according to a new analysis by the Kaiser Family Foundation. Under health reform, insurers must issue consumer rebates if they fail to spend a certain portion of premium income on health care claims and quality improvement expenses, thereby limiting what they may spend on administrative expenses or keep as profits.
Quantifying Tax Credits for People Now Buying Insurance on Their Own August 14, 2013 Issue Brief This analysis estimates that Americans currently buying insurance on the individual market would receive $2700 in subsidies (as tax credits) in 2014 under Obamacare. Tax credits are available for qualifying people buying insurance through the new health care marketplaces, or exchanges.
