Health Costs

The MIDTERMS

“...the search for a single top issue through polling questions — whether it’s health costs, or gas prices, or the cost of food — is artificial. People worry about and experience these costs together. There is no top issue, unless that issue is the catchall, ‘cost of living.’” — Drew Altman, KFF Founding President and CEO

Are Health Care Costs THE Top Issue for Voters?

In a new column, Dr. Drew Altman, Founding President and CEO, analyzes the polling on health costs as a voting issue and concludes that there is no one top voting issue. He writes: “I have come to the conclusion that the search for a single top issue through polling questions—whether it’s health costs, or gas prices, or the cost of food—is artificial. People worry about and experience these costs together. There is no top issue, unless that issue is the catchall, “cost of living.”

Health System Tracker

Small Businesses Could See Double-Digit Premium Increases in 2027, According to Insurers’ Preliminary Rate Filings

Nearly 300 insurers offering offering health coverage to small businesses reported a median proposed premium increase of 14% for next year, according to an analysis of preliminary rate filings from all 50 states and DC.

ACA Marketplace Insurers Are Proposing a Median Premium Increase of About 15% in 2027

ACA Marketplaces insurers are proposing a median premium increase of 15% in 2027, according to an updated analysis of 276 insurers with publicly available filings across all 50 states and the District of Columbia.

In 2024, life expectancy in the U.S. reached an all-time high of 79 years but remained years behind the average in comparable countries

Life expectancy at birth in the U.S. increased 0.6 years from 78.4 years in 2023 to 79.0 years in 2024, its highest-ever level. However, the average life expectancy in comparable countries was about 3.7 years longer than in the U.S.

Among adults 18 - 64 with private insurance, mental health and substance use treatment accounted for 10% of all overnight stays at hospitals or other medical facilities in 2023.

Using claims data from the 2023 Merative MarketScan Commercial Claims Database, this analysis describes the most common diagnoses for inpatient treatment and total associated costs, including patients’ out-of-pocket share.

New and noteworthy

How Unaffordable is Health Care and What Can We Do About It?

Event Date:

On Tuesday, July 21, three experts joined Health Wonk Shop series moderator Larry Levitt in an hour-long discussion of health care affordability. During the discussion, panelists considered affordability from a variety of perspectives, including how to define affordability and the question of affordability for whom, how to measure it, and what can be done to address affordability and the underlying cost of health care.

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  • HIV Capitation Risk Adjustment:  Conference Report

    Report

    HIV Capitation Risk Adjustment: Conference Report This report provides an overview of conference proceedings which focused on developing managed care reimbursement strategies that will ensure quality care for people living with HIV and fair compensation for those providing care. Report: HIV Capitation Risk Adjustment: Conference Report

  • Using Payment to Promote Better Medicaid Managed Care for People with AIDS

    Report

    This paper suggests methods of financing managed care for people with HIV or AIDS. Note: This publication is no longer in circulation. However, a few copies may still exist in the Foundation's internal library that could be xeroxed. Please email order@kff.org if you would like to pursue this option.

  • 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,…

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

    Report

    Side-By-Side Comparison Of Proposed Federal Legislation For Consumer Protection In Managed Care Plans Nicole Tapay, Karen Pollitz, Jalena Curtis Institute for Health Care Research and Policy Georgetown University Medical Center July 18, 1997 Issue Summary Over the past decade, an increasing number of Americans have been receiving their health care coverage through HMOs, PPOs and other types of managed care entities. The growing influence of managed care, in turn, has led consumers and state and…

  • 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