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KFF Health Tracking Poll: Health Care Costs and the Midterms

This KFF poll finds that health care costs continue to top the public’s list of affordability worries, even as concerns about gas prices have risen in recent weeks, with two-thirds of the public expressing worry over affording health care costs. Majorities say health costs will influence their vote this election. Voters favor Democrats on the issue, while Republicans hold an advantage on addressing fraud and abuse.

Affordable care act

ACA Marketplace Survey Feature Image - Website

Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees

This KFF survey is a follow-up survey of adults who had ACA Marketplace insurance in 2025. The survey examines the cost concerns and coverage changes of Marketplace enrollees following the end of the enhanced premium tax credits and finds that half of returning enrollees say their health care costs are “a lot higher” and most expect to cut back on basic household expenses to afford coverage.

Health System Tracker

What Are the Recent Trends in Employer-Based Health Coverage? Employer-sponsored health insurance is the largest source of health coverage for people under 65, but its reach is uneven.

How Does U.S. Life Expectancy Compare to Other Countries? The life expectancy gap between the U.S. and peer countries decreased from 4.1 years in 2023 to 3.7 years in 2024 as U.S. mortality dropped.

How Does Cost Affect Access to Health Care? In 2024, about 1 in 6 adults reported delaying or not getting healthcare due to cost, including medical or mental health care.

How Does Health Spending in the U.S. Compare to Other Countries? While the U.S. still spends the most in total dollars, eight OECD nations had a higher percentage increase in per-person health spending in 2024.

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  • Protection in Managed Care Plans: A Side-by-Side Comparison of Proposal Federal Legislation

    Report

    Protection in Managed Care Plans: A Side-by-Side Comparison of Proposed Federal Legislation. A side-by-side comparison of the provisions for consumer protection in managed care plans contained in the House and Senate budget reconciliation bills and in eight other consumer protection bills currently under consideration by Congress. These bills, which would increase the regulatory oversight of the managed care industry by the federal government, are compared in 22 different categories of managed care issues. Report Report

  • Protection in Managed Care Plans: A Side-by-Side Comparison of Proposal Federal Legislation

    Other Post

    Part I: Congressional Budget Reconciliation Proposals A. Entities Regulated Issue H.R. 2015--House Budget Bill(Medicare) S. 947--Senate Budget Bill(Medicare) H.R. 2015--House Budget Bill(Medicaid) S. 947--Senate Budget Bill(Medicaid) Establishes new Medicare managed care program, "MedicarePlus;" MedicarePlus plan options include coordinated care plans (HMOs, PPOs), MSA plans (exceptions for MSA plans from some requirements). (Medicare eligibles can still choose the traditional fee-for-service program.) Medicare; established new "Medicare Choice" program. Medicare Choice plan options include fee-for-service, PPOs, point-of-service plans,…

  • Medicaid and Managed Care: Implications for Low-income Women

    Report

    This commentary reviews Medicaid's role for low-income women and examines the implications Medicaid managed care on the delivery of health services to this vulnerable population. Today 40% of the Medicaid population, mostly poor women and their children, is enrolled in managed care. Medicaid agencies are hoping managed care will control spending and address longstanding problems with access to care. Low-income women have a number of characteristics that make them doubly vulnerable to have trouble accessing…

  • Managed Competition In California and Small-Group Insurance Market

    Report

    Reprinted from HEALTH AFFAIRS, Volume 16, Number 2 (March/April 1997) This paper describes the early experience of the Health Insurance Plan of California (HIPC), a small-employer purchasing cooperative established in 1993. Report: Managed Competition In California's Small-Group Insurance Market

  • Managed Care And Low-Income Populations: A Case Study of Texas

    Report

    This study is part of a larger initiative, funded by both the Henry J. Kaiser Family Foundation and The Commonwealth Fund. Case studies of seven states that are restructuring their health care systems for the Medicaid and uninsured populations: California, Florida, Minnesota, New York, Oregon, Tennessee, and Texas, are designed to provide early insights and timely analyses that will help states and other efforts shape rapidly evolving managed care systems and health reform programs for…

  • Making Medicaid Managed Care Work:  An Action Plan for Persons Living with HIV

    Other Post

    Making Medicaid Managed Care Work: An Action Plan for Persons Living with HIV This report, by the National Association of People with AIDS (NAPWA) with support from The Kaiser Family Foundation, describes nine key points for people living with HIV to keep in mind when trying to influence the development of a managed care system that will serve them effectively. Senator John Chafee (R-RI), an acknowledged ally of NAPWA, gratefully accepted the report upon its…

  • Post-Election Survey of Voters’ 1997 Health Care Agenda

    Poll Finding

    Post-Election Survey of Voters' 1997 Health Care Agenda A nationally representative sample of 1000 voters, conducted immediately after the 1996 election, examines voters' priorities for the new Congress. Balancing the budget, cutting taxes and spending on public education top the list of voters priorities. The survey also looks at public support for regulating managed care, expanding health insurance coverage, Medicare spending, and the welfare reform law passed last year. Topline Download

  • Managed Care and Low-Income Populations: A Case Study Of Managed Care In Florida

    Report

    This study is part of a larger initiative, the Kaiser/Commonwealth Low-Income Coverage and Access project funded by both the Henry J. Kaiser Family Foundation and The Commonwealth Fund, to gauge the impact of health restructuring on access and health insurance coverage for low-income populations in seven states through surveys, focus groups and case studies. The aim of the studies is to provide early insights and timely analyses that will assist other states and other efforts…