Affordable Care Act

New and noteworthy

ACA Marketplace Plans Nationally Are Seeking a Median 18% Premium Increase for 2026

This analysis of insurers’ initial rate filings for Affordable Care Act Marketplace plans in all 50 states and DC finds the median proposed increase for 2026 is 18%, more than double last year’s proposed increase. The analysis also shows proposed rate changes by state and insurer.

Estimates of Additional Uninsured People Across the States

KFF Health Tracking Poll: ACA Enhanced Subsidies

From Drew Altman: Making the Marketplaces Great Again?

ACA Provisions in the 2025 Federal Budget Reconciliation Law

ACA Marketplaces

From Drew Altman: The Spotlight Is on Medicaid Cuts, But the ACA Marketplaces Could See a One-Third Cut in Enrollment

President and CEO Drew Altman shows how proposals contained in the House reconciliation bill could result in a one-third reduction in ACA Marketplace enrollment. “While all eyes are on the big Medicaid cuts being proposed in the House,” he writes, “significant changes are also being proposed that together would dramatically reduce enrollment in the ACA Marketplaces.”

ANALYSIS

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KFF Health News' 'What the Health?': Here Come the ACA Premium Hikes

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race (1)
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Rate Review (10)
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Rhode Island (6)
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Small Group Coverage (27)
Smoking (1)
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Texas (11)
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261 - 270 of 2,762 Results

My husband and I are retired. He just turned 65 and is now covered by Medicare, but I am 62 and I don’t have health insurance. Can I enroll in Medicare as his spouse? Can I sign up for a Marketplace plan?

Jul 15, 2020
FAQs

Although your husband now qualifies for Medicare, you will not qualify for Medicare until you turn 65. If you do not have health insurance now, you can consider signing up for a Marketplace plan.
I am turning 65 years old next month, but I am not entitled to Medicare without having to pay a premium for Part A because I have not worked long enough to qualify. Can I sign up for a Marketplace plan?

Jul 15, 2020
FAQs

Yes, in general, people age 65 or older who are not entitled to premium-free Medicare can purchase health insurance coverage in the Marketplace (except undocumented immigrants).
I am in my early 60s and have signed up for a Marketplace plan so that I have health insurance coverage until I qualify for Medicare at age 65. What happens when I go on Medicare?

Jul 15, 2020
FAQs

When you turn 65, you should sign up for Medicare and notify your Marketplace plan that you now qualify for Medicare coverage.
If I have a Marketplace plan and then become eligible for Medicare, will my Marketplace plan be cancelled automatically when my Medicare coverage starts?

Jul 15, 2020
FAQs

No, your Marketplace plan will not be canceled automatically when your Medicare coverage starts. You must contact your Marketplace insurer directly to cancel your Marketplace policy.
Individual Insurance Market Performance in Early 2020

Jul 13, 2020
Issue Brief

Individual market insurers, on average, remained profitable through the first three months of 2020 as claims costs rose only slightly compared to the same period last year. It is likely that the most significant impacts of the coronavirus on the individual market will not be evident nationally until second or third quarter data are released.
Insurance Coverage and Viral Suppression Among People with HIV in the United States, 2015-2018

Jul 9, 2020
Feature

Health insurance coverage and access to care improve health outcomes, including viral suppression, for people with HIV in the United States. Prior research has demonstrated that implementation of the Affordable Care Act (ACA) in 2014 increased coverage among people with HIV and that certain forms of coverage are positively correlated with sustained viral suppression. We provide a 2018 update, the latest nationally representative data in this area, as well as trends over time.
How Threatening The ACA Again Could Hurt Trump With Independent Voters

Jul 7, 2020
From Drew Altman

In his Axios column, Drew Altman shows how threatening the Affordable Care Act in the U.S. Supreme Court, or overturning it, could hurt President Trump with independent voters, and says that could matter most in battleground states.
4.7 Million Uninsured Adults Could Become Eligible for Medicaid by 2021 if All Remaining States Expanded the Program under the ACA

Jun 25, 2020
News Release

About 4.7 million uninsured adults could gain eligibility for Medicaid by 2021 if the 14 remaining non-expansion states were to expand Medicaid under the Affordable Care Act, a new KFF analysis finds. That figure includes an estimated 2.
How Many Uninsured Adults Could Be Reached If All States Expanded Medicaid?

Jun 25, 2020
Issue Brief

As more people lose their jobs and accompanying ESI, more may fall into the coverage gap, particularly starting in 2021 after unemployment benefits expire for many who have lost their jobs and incomes are likely to drop below the minimum threshold for marketplace subsidies. This analysis estimates how many uninsured adults—including those uninsured even before the pandemic and those who could become uninsured as a result of it— could become eligible for Medicaid if states that have not yet expanded the program do so.
COVID-19 and Massive Job Losses Will Test the US Health Insurance Safety Net

May 28, 2020
Policy Watch

In this May 2020 post for The JAMA Health Forum, Larry Levitt explores how the massive and rapid job losses of the past few months will test the ACA’s coverage safety net – and how different policies could strengthen or weaken it.