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Affordability and Spending

Our Darwinian Approach to Health Care Costs

Our Darwinian Approach to Health Care Costs

In his latest column, President and CEO Dr. Drew Altman presents his Venn diagram of health care cost problems and shows how, in our fragmented health system, reducing one health cost problem often makes another worse. "...Reducing health care costs has become a Darwinian game; everyone wants to reduce health care costs and spending – their own, often at the expense of someone else."

Affordable Care Act

An image of text is an excerpt form Jared Ortaliza's quick take which reads, "Data currently being released represent Open Enrollment ACA Marketplace plan selections, or how many people have signed up for or been automatically renewed into 2026 coverage. These data do not necessarily translate to enrollments. That is because people who have selected a plan or been automatically renewed may not ultimately choose to pay for their coverage, thus “effectuating” their enrollment."

ACA Signups Are Down, But Still an Incomplete Picture

Data currently being released represent Open Enrollment ACA Marketplace plan selections, or how many people have signed up for or been automatically renewed into 2026 coverage. These data do not necessarily translate to enrollments. That is because people who have selected a plan or been automatically renewed may not ultimately choose to pay for their coverage, thus “effectuating” their enrollment.

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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  • Kaiser Health Tracking Poll — October 2009

    Feature

    The October Kaiser Health Tracking Poll finds public support for health reform unchanged since last month, with more in favor than opposed. Fifty-five percent of Americans believe that it is more important than ever to take on health care reform now, while 41 percent say the country cannot afford it right now.

  • Explaining Health Care Reform: What is Comparative Effectiveness Research?

    Issue Brief

    The brief examines current funding for comparative effectiveness research, the provisions included in the current health reform legislation, and issues related to which treatments that might be studied, whether and how to weigh costs of care, and how such findings will be used and shared with health-care practitioners and the public.

  • Survey Brief: Economic Problems Facing Families

    Poll Finding

    This poll finds that health care costs rank among Americans’ top personal economic problems, and their struggles to deal with those costs have affected both their financial well-being and their family’s health care.

  • Characteristics of Frequent Emergency Department Users

    Report

    The increased use of U.S. hospital emergency departments has received considerable attention from both the health care community and policymakers in recent years. This analysis from the Kaiser Family Foundation examines the demographic and health characteristics of people who frequently visit the emergency room to help understand why their utilization is so high.

  • Key Findings: Kaiser Health Tracking Poll: Election 2008 — March 2007

    Poll Finding

    This document presents key findings from the first Kaiser Health Tracking Poll: Election 2008, which is tracking changes in the saliency of health as a political and policy priority, what the public’s priorities are for a health reform plan and whether any candidates are breaking through with the public with their health reform plans.

  • Toplines: National Survey of Households Affected by Cancer

    Poll Finding

        These toplines provide the complete survey questions and findings from the National Survey of Households Affected by Cancer conducted jointly by USA Today, the Kaiser Family Foundation and the Harvard School of Public Health by telephone between Aug. 1 and Sept. 14, 2006.