Uninsured

New and noteworthy

Quote from KFF President and CEO Drew Altman reads, "when it comes to the “affordability crisis” driving the national discussion of health care today, the chronically ill, and most of all the chronically ill uninsured, are the tip of the spear."

The Group that Struggles the Most in American Health Care

In a new column, Dr. Drew Altman, KFF’s Founding President and CEO, previews findings about the chronically ill uninsured from a large KFF survey of 25,000 Americans focusing on the cost and access challenges facing the chronically ill, which will be released tomorrow. He writes: “There are more than enough needs to go around in American health care, but if I had to pick the one group that struggles the most with costs and access, it would be people with chronic illnesses who are also uninsured.”

Other “Beyond the Data” columns >>

Key Facts about the Uninsured Population

The number and share of people without insurance grew in 2024, increasing for the first time since 2019, according to KFF’s analysis of data from the American Community Survey (ACS). This issue brief describes trends in health coverage in 2024, examines the characteristics of the uninsured population , and summarizes the access and financial implications of not having coverage.

Data and analysis

The coverage gap exists because some states did not expand Medicaid under the ACA to cover adults under age 65 without dependent children with incomes at/below 138% of the federal poverty level (FPL)

How Many Uninsured Are in the Coverage Gap?

An estimated 1.4 million uninsured individuals in the 10 states without Medicaid expansion, including many working adults, people of color, and those with disabilities, remain in the "coverage gap," ineligible for Medicaid or for ACA tax credits that would make coverage affordable.

The Uninsured and Health Coverage

This Health Policy 101 chapter examines the share of the United States population who are uninsured, highlighting their demographics and the challenges they face because of the lack of coverage.

Key Facts on Health Coverage of Immigrants

This fact sheet provides an overview of health coverage for immigrants based on data from the 2023 KFF/LA Times Survey of Immigrants. As of 2023, half of likely undocumented immigrant adults and one in five lawfully present immigrant adults reported being uninsured.

Who was uninsured in 2024?

Latest Polling
9.8%

The share of people under age 65 without insurance
62%

The share of uninsured adults who said they were uninsured because coverage is not affordable
59%

The share of uninsured adults who said they or someone living with them had problems paying for health care
39%

The share of uninsured adults who reported delaying or not getting needed care or medication due to cost

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  • Inside Deficit Reduction: What It Means For Medicaid

    Event Date:
    Event

    This briefing, co-sponsored by the Alliance for Health Reform, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation, featured panelists discussing which deficit-reduction proposals affecting Medicaid might receive serious consideration by the congressional "super committee," as well as what kind of impact such changes would have on Medicaid enrollees, providers and state Medicaid programs. For more information, please visit the Alliance's event page. Full Video   Speakers for this session: The…

  • Survey of Consumer Experiences in Managed Care – News Release

    Other Post

    New Survey Offers Insight Into Experiences of Managed Care Consumers Majority of Sacramento Managed Care Consumers Report No Difficulty with Their Plan, But Over a Quarter Had Problems For Immediate Release:Wednesday, November 19, 1997 Contacts:Heather Balas,Kaiser Family Foundation, (650) 854-9400 Katie Salvas,Sierra Health Foundation, (916) 922-4755 Magdalena Beltran-del Omo,The California Wellness Foundation, (818) 589-6600 Lauren Schaefer,Health Rights Hotline, (916) 551-2147 Medicaid Beneficiaries Report Highest Rate of Difficulty Sacramento, California -- Much national attention is currently…

  • Children Discharged from Foster Care:  Strategies to Prevent the Loss of Health Coverage at a Critical Transition

    Report

    This report discusses the importance of maintaining health coverage for children who are discharged from foster care and presents strategies that state child welfare and Medicaid agencies can employ to reach this goal. In addition, the report also addresses the needs of children who age out of the foster care system at age 18, and discusses state options to expand health coverage to this group. Report

  • The Impact of Manged Care Legislation: An Analysis of Five Legislative Proposals from California

    Other Post

    Kaiser/Harvard National Survey Of Americans' View On Managed Care Introduction:Hello, my name is _________________ and I'm calling for Princeton Survey Research. I'd like to ask a few questions of the Youngest Male age 18 or older, who is now at home. (If No Male At Home Now : Then, may I speak with the OLDEST FEMALE age 18 or older who is now at home) (Repeat Introduction If Respondent Did Not Answer The Telephone) .…

  • Access to Care for S-CHIP Adolescents

    Report

    The second in a series of reports on implementation issues and challenges in the first year of S-CHIP finds that the five study states have not focused special attention on the unique service needs of this age group, such as risk assessment and counseling, reproductive and sexual health services, and mental health services, when designing their programs. REPORT Download

  • Small Employers and Health Insurance and State Reforms of Small Group Health Insurance

    Fact Sheet

    Fact sheets on health insurance among small employers and state reforms of small group health insurance. Fact Sheet: Small Employers and Health Insurance Fact Sheet: Small Employers and Health Insurance Fact Sheet: State Reforms of Small Group Health Insurance Fact Sheet: State Reforms of Small Group Health Insurance

  • Is There a Common Ground? Affiliations Between Catholic and Non-Catholic Health Care Providers and

    Other Post

    3. The Affiliation Process and the Role of Reproductive Health Services in the case studies The four case studies conducted for this project provide insight into the affiliation process between Catholic and non-Catholic health care providers and the role of reproductive health services in the process. The four successfully negotiated affiliations studied included an acquisition, a merger, a consolidation, and a 50/50 joint venture. (See Figure 1 for a summary of the contextual, organizational, and…