ACA Open Enrollment: For Consumers Considering Short-Term Policies October 25, 2019 Fact Sheet A short fact sheet provides information about short-term health insurance policies and how they differ from ACA-compliant plans.
300+ FAQs Help Consumers Understand the ACA Marketplaces as Open Enrollment Begins October 28, 2019 News Release Ahead of the annual Affordable Care Act (ACA) open enrollment period, the time during which consumers can shop for health plans or renew existing coverage, KFF has updated and expanded its searchable collection of more than 300 Frequently Asked Questions about open enrollment, the health insurance marketplaces and the ACA.…
Surprise Bills Often Hit in Emergencies December 9, 2019 Perspective In an Axios column, Drew Altman previews new data highlighting that people with critical health issues are especially vulnerable to these bills.
KFF Analysis Finds Physician Networks in ACA Marketplace Plans Vary Widely, and Enrollees Typically Pay More in Premiums to Access Broader Networks August 26, 2024 News Release A KFF analysis of physician networks in the Affordable Care Act’s Marketplace plans finds wide variations in the share of local practicing physicians who participate, with the least costly plans generally having a smaller share of physicians than more expensive plans. The analysis examines the breadth of physician networks listed…
HealthCare.gov Insurers Denied Nearly 1 in 5 In-Network Claims in 2023, but Information About Reasons is Limited in Public Data January 27, 2025 News Release HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services and an even larger share (37%) share of claims for out-of-network services in 2023, a new KFF analysis finds. The analysis examines the main source of publicly available data on claims denials and appeals for…
Para consumidores que estén considerando planes de salud de corto plazo… October 30, 2018 Fact Sheet Esta hoja informativa ofrece datos sobre los planes de salud de corto plazo y en qué se diferencian de las pólizas que cumplen con ACA.
Proposals for Insurance Options That Don’t Comply with ACA Rules: Trade-offs In Cost and Regulation April 18, 2018 Issue Brief This brief examines four options to promote the sale of health plan options in the individual or non-group market that are not subject to Affordable Care Act (ACA) requirements for other major medical health plans. It reviews the trade-offs involved if such loosely regulated markets take root as an alternative to the ACA-regulated market, particularly as the repeal of the individual mandate penalty takes effect next year.
Yes, the Trump administration promotes consumer choice — for healthy people May 1, 2018 Perspective In this Washington Post op-ed column, Karen Pollitz examines how the Trump Administration’s efforts to promote coverage through short-term health insurance policies, rather than Affordable Care Act coverage, creates trade offs for consumers.
Federal law market rules for private health insurance sold to individuals and groups June 14, 2018 Slide
Understanding Short-Term Limited Duration Health Insurance April 23, 2018 Issue Brief In late 2017, President Trump issued an executive order directing the Secretary of Health and Human Services to take steps to expand the availability of short-term health insurance policies. This brief provides background information on short-term policies and how they differ from ACA-compliant health plans. It also analyzes the short-term plans available through two major online brokers to assess how often they include coverage for mental health, substance abuse, prescription drugs and maternity care.
