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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A Guide To Finding Insurance at 26‌
Why Young Americans Dread Turning 26: Health Insurance Chaos
Trump Voters Wanted Relief From Medical Bills. For Millions, the Bills Are About To Get Bigger.
KFF Health News' 'What the Health?': Here Come the ACA Premium Hikes

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Private Insurers Expect to Pay $1.1 Billion in Rebates This Year for Setting Premiums Too High Relative to Medical Costs

May 17, 2023
News Release

Private insurance companies are expecting to pay out about $1.1 billion in rebates this fall under an Affordable Care Act (ACA) provision that requires insurers to spend the bulk of customers’ premium payments on care, a new KFF analysis finds. Rebates are based on insurers’ experiences over the previous three years.
2024 Medical Loss Ratio Rebates

Jun 5, 2024
Issue Brief

Insurers estimate they will pay $1.1 billion in Medical Loss Ratio (MLR) rebates in 2024 to select individuals and employers that purchase their health coverage, according to a KFF analysis of preliminary data reported to state regulators. The estimated rebate for 2024 is larger than rebates issued in most prior years. Nearly $12 billion in rebates have been issued since 2012.
Standardized Plans in the Health Care Marketplace: Changing Requirements

May 8, 2023
Issue Brief

This brief examines the evolving requirements for insurers on HealthCare.gov to offer standardized plans that follow set cost sharing rules for covered benefits in addition to other plans they might offer. It also reviews how some state-run marketplaces have used standardized plans to limit cost sharing for insulin, mental health care, and other services.
Testimony: Tax-Exempt Hospitals and the Community Benefit Standard

Apr 26, 2023
Issue Brief

Zachary Levinson, Project Director of KFF’s Program on Medicare Policy, testified before the U.S. House of Representatives’ Committee on Ways and Means on April 26, 2023 as part of a hearing on Tax-Exempt Hospitals and the Community Benefit Standard.
KFF Health Tracking Poll March 2023: Public Doesn’t Want Politicians To Upend Popular Programs

Mar 30, 2023
Feature

Large majorities of the public hold favorable views of Medicare and Medicaid. While most people worry about Medicare’s sustainability for the future, they also view the debate in Washington about Medicare cuts as largely politics.
As the Courts Weigh the Future of the ACA’s Preventive Services Coverage, a New Analysis Shows that Most People with Private Insurance Received At Least One of Those Benefits in 2018

Mar 20, 2023
News Release

The provision of the Affordable Care Act (ACA) that requires most private health plans to cover many preventive services without any cost-sharing for their enrollees is being challenged in federal court.
Half of Kentucky Residents Hold Unfavorable Views of the Affordable Care Act, But Seven in Ten, Including Most Republicans, Don’t Want to Scale Back Medicaid Expansion to Cover Fewer People

Dec 11, 2015
News Release

Half of Residents Want to Keep the State's Insurance Marketplace Kynect, While a Quarter Favor Switching to Federal Healthcare.
Survey of Kentucky Residents on State Health Policy

Dec 11, 2015
Poll Finding

This survey of Kentucky residents gauges their views on health care policy in the state, including their preferences for the future of the Medicaid expansion and the state-based health insurance marketplace, Kynect. Kentucky has received national attention as the only Southern state to fully embrace the Affordable Care Act, though the state elected a new governor in November 2015 who campaigned on rolling back the Medicaid expansion and ending Kynect.
Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS

Dec 7, 2015
Issue Brief

This issue brief compares the financial alignment demonstrations for beneficiaries who are dually eligible for Medicare and Medicaid in states that have memoranda of understanding approved by the Centers for Medicare and Medicaid Services.
Women’s Health Issues Journal: Women, Private Health Insurance, and the Affordable Care Act

Nov 25, 2015
Issue Brief

In this issue of the Women's Health Issues journal, Alina Salganicoff and Laurie Sobel discuss how the private insurance reforms and expansions in the Affordable Care Act (ACA) have affected access to coverage for women and where gaps remain.

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Affordable Care Act

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A Guide To Finding Insurance at 26‌

Why Young Americans Dread Turning 26: Health Insurance Chaos

Trump Voters Wanted Relief From Medical Bills. For Millions, the Bills Are About To Get Bigger.

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

View the Latest: Affordable Care Act

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