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.”

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race (1)
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Rate Review (10)
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Small Group Coverage (27)
Smoking (1)
Social Media (4)
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Texas (11)
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Utah (10)
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Virginia (11)
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Efforts to Increase Marketplace Enrollment During Open Enrollment Could Boost Medicaid Coverage, Too

Nov 4, 2021
Policy Watch

As the ninth open enrollment period for the Health Insurance Marketplaces begins, enhanced Marketplace premium help along with increased funding for outreach and enrollment assistance mean there are more affordable coverage options for the millions of people who remain uninsured and more help available to connect those individuals to coverage.
10 Years of Hospital Readmissions Penalties

Nov 4, 2021
Feature

Over the 10-year lifetime of a Medicare program aimed at reducing hospital readmissions, 93% of eligible hospitals have been penalized at least once. Hospital readmissions have become less frequent, and most experts attribute that partly to the financial threat of the penalties, though other factors likely contributed to the improvements.
Ten Changes to Watch in Open Enrollment 2022

Oct 29, 2021
Issue Brief

Even as the ninth annual Open Enrollment period gets underway, the Affordable Care Act (ACA) Marketplaces continue to evolve and important changes are expected. This issue brief discusses what changes to watch out for in the coming enrollment period.
Richer Health Insurance Subsidies Available This ACA Enrollment Season

Oct 28, 2021
Feature

Many people who come to the Affordable Care Act marketplaces for the 2022 open enrollment period, which begins Nov. 1, may be learning for the first time about new financial assistance available to them.
¿El valor de mi casa cuenta para determinar mi elegibilidad para obtener subsidios?

Oct 20, 2021
FAQs

No, los activos no se cuentan. Por lo tanto, el valor de su casa, auto, ahorros para la jubilación, etc., no afectarán su elegibilidad para los créditos fiscales para las primas. Solo se consideran sus ingresos.
¿Qué ingreso cuenta para determinar mi elegibilidad para recibir subsidios?

Oct 20, 2021
FAQs

La elegibilidad para los créditos fiscales para las primas (subsidios) se basa en su ingreso bruto ajustado modificado o MAGI. Cuando presenta una declaración federal de impuestos, debe informar su ingreso bruto ajustado (que incluye sueldos y salarios, intereses y dividendos, beneficios por desempleo y varias otras fuentes de ingresos).
¿Qué pasa si no actualizo mi aplicación para asistencia financiera?

Oct 20, 2021
FAQs

Si vive en un estado que utiliza cuidadodesalud.gov (el mercado que gerencia el gobierno federal) y no actualiza su solicitud, en la mayoría de los casos, el mercado ajustará automáticamente la cantidad de su crédito fiscal para la prima para el próximo año.
Mis ingresos están por debajo del nivel federal de pobreza y mi estado no ha elegido ampliar la elegibilidad para Medicaid. ¿Puedo calificar para créditos fiscales para las primas?

Oct 19, 2021
FAQs

No, sus ingresos son demasiado bajos para calificar para los créditos fiscales para las primas.
¿Qué pasa si quiero dejar mi plan de salud del mercado durante el año?

Oct 19, 2021
FAQs

Es importante que se comunique con su mercado y con el plan de salud y les informe que ya no necesita cobertura. En los estados que utilizan cuidadodesalud.gov, puede iniciar sesión en su cuenta del mercado, seleccionar la opción "cancelar cobertura" e ingresar la información requerida.
Me inscribí en un plan de Bronce con una prima de $0 durante el período de inscripción el año pasado. Pero escuché que los subsidios ahora han aumentado. ¿Cómo me ayuda a mí este aumento?

Oct 19, 2021
FAQs

Con el aumento de los créditos fiscales para las primas, ahora es posible que pueda pagar un plan con un deducible más bajo. Durante la inscripción abierta, inicie sesión en su cuenta del mercado y actualice su solicitud para ver los nuevos subsidios para las primas.