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Affordability and COSTS

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.

Analysis

What Happens if the Enhanced ACA Subsidies Expire?

Issue Brief

Cost Sharing for Medicaid Expansion Enrollees

Column

Make American Health Care Affordable Again

Polling

Americans’ Challenges with Health Care Costs

Hospital Finances

Key Facts About Hospitals

This analysis presents key facts about hospitals with more than 40 charts related to national spending on hospital care, characteristics of the hospital industry, rural hospitals, use of hospital care, out-of-pocket spending and medical debt, hospital prices, hospital finances, and charity care.


Also: What are the Implications of the 2025 Budget Reconciliation Bill for Hospitals?

10 Things to Know About Rural Hospitals

1 or 2 Health Systems Controlled the Entire Market for Inpatient Care in Nearly Half of Metro Areas

10 Things to Know About Consolidation in Health Care Provider Markets

Hospital and Health System Mergers in Different Markets

health system tracker
KEY RESOURCES

  • Health Policy 101: Costs and Affordability

    This Health Policy 101 chapter explores trends in health care costs in the U.S. and the factors that contribute to this spending. It also examines how health care spending varies and the impact on affordability and people's overall financial vulnerability.  


  • Americans’ Challenges with Health Care Costs

    This data note reviews our recent polling data that finds that Americans struggle to afford many aspects of health care, including disproportionate shares of uninsured adults, Black and Hispanic adults and those with lower incomes.

  • National Health Spending Explorer

    This interactive Peterson-KFF Health System Tracker tool allows users to examine five decades worth of data on health expenditures by federal and local governments, private insurers, and individuals.

  • Polling on Prescription Drugs and Their Prices

    This chart collection draws on recent KFF poll findings to provide an in-depth look at the public’s attitudes toward prescription drugs and their prices. Results include Americans’ opinions on drug affordability, pharmaceutical companies, and various potential measures that could lower prices.

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  • An analysis of out-of-network claims in large employer health plans

    Issue Brief

    A new Kaiser Family Foundation brief examines out-of-network claims in large employer plans, and finds that a significant share of inpatient hospital admissions includes bills from out-of-network providers, often leaving patients exposed to "surprise medical bills" and high out-of-pocket costs.

  • 5 Charts About Americans and Medical Bills

    Feature

    This slideshow draws on findings from the June 2018 Kaiser Family Foundation poll to provide an overview of the public’s experiences with medical bills, particularly for 18-64 year olds. Results include public’s problems with paying medical bills, impacts on their family, as well as actions taken to pay off bills.

  • Texans’ Experiences with Health Care Affordability and Access

    Report

    Using data from the Kaiser Family Foundation/Episcopal Health Foundation 2018 Texas Health Policy Survey, this brief explores Texas residents’ experiences with health care affordability and access to care. It examines Texans’ difficulty affording health care compared to other basic needs, problems paying medical bills, and skipping or postponing care because of costs. It also explores the experiences of vulnerable groups like the uninsured and those with lower incomes.

  • Poll: Two-thirds of Voters Say a Candidate’s Position on Pre-existing Conditions is Important to their Vote, More than Say the Same about Drug Costs, ACA Repeal or Medicare-for-All

    News Release

    About two-thirds (65%) of voters say a candidate’s support for continued protections for people with pre-existing health conditions is either the “single most important factor” or “very important” to their vote in the upcoming midterms elections, finds the latest Kaiser Family Foundation tracking poll.

  • Kaiser Health Tracking Poll – June 2018: Campaigns, Pre-Existing Conditions, and Prescription Drug Ads

    Feature

    The June 2018 KFF Tracking Poll examines the top issues voters want to hear candidates talk about during their 2018 congressional campaigns, including the importance of specific health care positions such as continuing protections for people with pre-existing conditions. The Kaiser poll also examines the public’s views and experiences with prescription drug advertisements and pricing.

  • Public Opinion on Chronic Illness in America

    Feature

    The April 2018 Kaiser Health Tracking Poll finds six in ten say they or someone in their immediate family have a chronic health condition that requires ongoing medical treatment, and a third of those dealing with a chronic condition requiring ongoing medical care say they or their household have had problems paying medical bills in the past 12 months. This poll finding also looks at how the public views policies aimed at preventing chronic disease in America.

  • Why Some Employers are Turning to Progressive Health Benefits

    From Drew Altman

    In this Axios column, Drew Altman examines the status of progressive health benefits (health benefits linked to wage levels) and their pros and cons at a time when employee health costs are rising and wages are flat.