Total Monthly Medicaid & CHIP Enrollment and Pre-ACA Enrollment January 31, 2025 State Indicator Medicaid Enrollment, Monthly Medicaid Enrollment, total Medicaid enrollment
Congressional District Interactive Map: How Much Will ACA Premium Payments Rise if Enhanced Subsidies Expire? February 3, 2025 Issue Brief This analysis and interactive map illustrate how much more enrollees in Affordable Care Act (ACA) Marketplace plans would pay in premiums at the congressional district level if the enhanced subsidies were to expire in 2026 as under current law. The tool presents scenarios for an older couple who would lose subsidy eligibility due to their income level and for a single person with a $31,000 income. It also presents net average premium payment increases in each district in states that use Healthcare.gov.
Claims Denials and Appeals in ACA Marketplace Plans in 2023 January 27, 2025 Issue Brief This brief analyzes federal transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group qualified health plans (QHPs) offered on HealthCare.gov in 2023. It finds that HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services. Information about the reasons for denials is limited, and few consumers appeal claims denials.
Status of State Medicaid Expansion Decisions February 12, 2025 Page This page displays an interactive map of the current status of state decisions on the Affordable Care Act’s Medicaid expansion. Additional Medicaid expansion resources are listed (with links) below the map.
The Health Wonk Shop: What’s Next for the Affordable Care Act? February 10, 2025 Event Health coverage enrollment through the Affordable Care Act (ACA) marketplaces now exceeds 24 million people, a dramatic increase in recent years fueled largely by enhanced premium aid, which started in 2021 as part of the American Rescue Plan Act and extended through 2025 under the Inflation Reduction Act. But, with…
The Two Big Decisions That Will Drive Health Policy February 14, 2025 From Drew Altman KFF’s president and CEO Drew Altman writes in a new column about the factors driving the biggest health policy decisions now—how to pay for tax cuts and whether President Trump wants another big fight about health care.
Total Medical Loss Ratio (MLR) Rebates in All Markets for Consumers and Families February 19, 2025 State Indicator
Eliminating the Medicaid Expansion Federal Match Rate: State-by-State Estimates February 13, 2025 Issue Brief This analysis examines the potential impacts on states and Medicaid enrollees of eliminating the 90% federal match rate for the Affordable Care Act (ACA) expansion. Eliminating the federal match rate for adults in the Medicaid expansion could reduce Medicaid spending by nearly one-fifth ($1.9 trillion) over a 10-year period and up to nearly a quarter of all Medicaid enrollees (20 million people) could lose coverage.
Eliminating the ACA Medicaid Expansion Match Could Reduce Total Medicaid Spending by Up To $1.9 Trillion Over 10 Years and End Coverage for 20 Million People February 13, 2025 News Release A new KFF analysis finds that a congressional proposal to significantly cut federal spending on the Affordable Care Act’s Medicaid expansion could reduce total Medicaid spending by up to nearly one-fifth, or $1.9 trillion, over a 10-year period, and end Medicaid coverage for as many as 20 million people.The impacts…
