Data Note: Changes in Enrollment in the Individual Health Insurance Market through Early 2019 August 21, 2019 Issue Brief This analysis measures changes in enrollment in the individual market, including those in both marketplace plans and off-exchange plans, before and after the ACA’s coverage expansions and market rules went into effect in 2014 through the first quarter of 2019.
As Policymakers Debate Medicare-for-All, Analysis Finds the Medicare Advantage, Individual and Group Health Insurance Markets Appear to Be Profitable, Especially Medicare Advantage August 5, 2019 News Release 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, according to a new KFF analysis. The private Medicare Advantage market generates significantly larger gross margins per person than the individual market or…
Financial Performance of Medicare Advantage, Individual, and Group Health Insurance Markets August 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.
State Actions to Improve the Affordability of Health Insurance in the Individual Market July 17, 2019 Issue Brief A number of states have taken steps to provide consumers with more affordable coverage options in the individual market, including the marketplaces. Some states are implementing strategies that lower premiums by building on, and increasing the stability of the individual market, while other states are expanding the availability of lower cost coverage sold outside the marketplaces that does not comply with ACA standards—an approach that could increase marketplace premiums further. This brief examines these different approaches and discusses the implications of state policy choices.
Ask KFF: Karen Pollitz Answers 3 Questions on Why Insurers Deny Claims March 6, 2019 Issue Brief Karen Pollitz, senior fellow for health reform and private insurance at KFF, answers three questions about denied claims and how the federal government may change the data insurers are required to report on this issue.
Among People Ineligible for Subsidies, Middle-Class Older Adults Face the Least Affordable ACA Premiums, Especially Those Living in Rural Areas Where Premiums Are Highest March 5, 2019 News Release A new KFF analysis finds that Affordable Care Act marketplace premiums are least affordable for older adults who earn too much to qualify for federal subsidies, especially those living in rural areas where premiums are highest. The analysis of the lowest-cost 2019 ACA marketplace plans across U.S. counties finds that…
How Affordable are 2019 ACA Premiums for Middle-Income People? March 5, 2019 Issue Brief This analysis finds that Affordable Care Act marketplace premiums are least affordable for older adults who earn too much to qualify for federal subsidies, especially those living in rural areas where premiums are highest. The analysis also discusses a variety of state and federal proposals that seek to lower premiums for middle-class people buying their own insurance who are ineligible for ACA subsidies.
Testimony: Pre-Existing Conditions and Health Insurance January 29, 2019 Issue Brief KFF’s Karen Pollitz testimony before the U.S. House Committee on Ways and Means on Jan. 29, 2019 examines the prevalence of pre-existing conditions, the impact of the Affordable Care Act’s prohibition against medical underwriting and other provisions aimed at stabilizing the insurance risk pool, and the trade-offs involved in relaxing those provisions.
If the Affordable Care Act is Struck Down, Nearly All Americans Would Be Affected in Some Way December 20, 2018 News Release The Affordable Care Act’s changes to the nation’s health care system are so widespread that nearly all Americans would be affected in some way if a federal judge’s decision ruling the entire law unconstitutional is upheld, according to a new analysis from KFF (the Kaiser Family Foundation). While the changes…
36 States Saw Uninsured Rate Increase in 2017, Including Some that Expanded Medicaid December 14, 2018 Slide The uninsured rate increased in 36 states in 2017, including some that expanded Medicaid. In KFF’s Chart of the Week, explore the uninsured rate increases and decreases for all 50 states.
