Why is There So Much Attention on Obesity Drugs?
High U.S. prices and demand for Ozempic and Wegovy have implications for insurance premiums, public program costs, and affordability.
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Protecting People with Pre-Existing Conditions
Quick InsightsIt is worth a refresher on how the ACA protects people with pre-existing conditions. It’s also worth asking whether and how an alternative would do the same.
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What did Sen. JD Vance mean by ‘Reinsurance?’
Quick InsightsVance’s debate comment likely refers to state reinsurance waivers, largely approved by the Trump Administration. These waivers aimed to lower unsubsidized premiums by offsetting insurer costs for very sick enrollees.
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The Biggest Rollback in Federal Support for Health Coverage Ever
Quick InsightsRepublicans are not talking about repealing and replacing the ACA anymore, and the budget reconciliation bill doesn't do that, at least not directly. However, the bill would restrict health insurance for many people who have been helped by the ACA, and it would be the biggest rollback in federal support for health coverage ever.
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More Than 3 in 4 ACA Marketplace Enrollees Live in States Won by President Trump in 2024
Quick InsightsAs Democrats push for an extension of the ACA’s enhanced premium tax credits, new data from KFF show the extent to which states won by Trump in 2024 have come to rely on the ACA Marketplaces and the tax credits, which make health care coverage more affordable for low- and middle-income Marketplace enrollees.
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If Enhanced ACA Tax Credits Expire, Older Marketplace Enrollees Face Steepest Premium Hikes
Quick InsightsThe ACA enhanced premium tax credits expanded financial assistance to more Marketplace enrollees, an expansion that was especially helpful to older middle-income enrollees, who would see the largest increases in out-of-pocket premiums if the enhanced credits expire.
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More Than Half of ACA Marketplace Enrollees Live in Republican Congressional Districts
Quick InsightsSince the enhanced premium tax credits became available in 2021, ACA Marketplace enrollment has increased significantly in some red states, and 57% of enrollees now live in Republican congressional districts.
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Is it Too Late for ACA Insurers to Change Their Premiums?
Quick InsightsAffordable Care Act Marketplace insurers are raising premiums by an average of 18% next year, due in part to the expiring enhanced premium tax credits. Even if the credits are extended in shutdown negotiations, it is unlikely that insurers will have time to revise premiums, though the credits would still offer enrollees relief from them.
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Public Support for Extending the Enhanced ACA Tax Credits Reflects Broader Concerns About Health Care Affordability
Quick InsightsThe debate over these enhanced tax credits can be seen as a proxy for the broader public’s concerns about health care affordability which may be why the public is largely in favor of extending these subsidies – even as overall views of the ACA are still very polarized.
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ACA Insurers Are Raising Premiums by an Estimated 26%, but Most Enrollees Could See Sharper Increases in What They Pay
Quick InsightsThe amount health insurers charge for coverage on the ACA Marketplaces is rising 26%, on average, in 2026.... Most enrollees would face even sharper increases in what they pay if they ACA’s enhanced premium tax credits expire.