Uninsured

New and noteworthy

How Much and Why ACA Marketplace Premiums Are Going Up in 2026

This analysis of initial rate filings from all 50 states and DC shows ACA Marketplace insurers are proposing a median premium increase of 18% for 2026, more than double last year’s 7% median proposed increase. The analysis includes proposed rate changes by state and insurer.

Data and analysis

The Uninsured Population 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.

How Many Uninsured Are in the Coverage Gap?

This analysis estimates that 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 tax credits that would make coverage ACA's Marketplaces affordable to them.

Key Facts about the Uninsured Population

The number of people ages 0-64 who were uninsured held steady at 25.3 million in 2023, although the number of uninsured children rose from 3.8 million to 4.0 million. Most uninsured people are in low-income families and have at least one worker in the family.

How the Unwinding Affected Enrollees

Over half who were disenrolled say they put off needed medical care while trying to renew Medicaid. Overall, 19% of adults who had Medicaid prior to the start of unwinding say they were disenrolled at some point in the past year. Of this group, a large majority (70%) were left at least temporarily uninsured.

The uninsured: How costs affect care and health, 2023

Latest Polling
8%

Percent of adults who reported not having health insurance
55%

Percent of uninsured adults who reported delaying or forgoing some form of health care due to cost
19%

Percent of uninsured adults who report that they or a family member had difficulty paying medical bills
38%

Percent of uninsured adults who reported not having a usual source of care (vs. 8% of insured adults)

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  • The Role of Medicaid in State Budgets

    Issue Brief

    A new policy brief examines the role of Medicaid in state budgets, the reasons behind rising growth in the program, and explores strategies for states to cope with higher spending in tough economic times.

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    Other Post

    Kaiser Family Foundation: In Their Own Words "In Their Own Words" document.

  • Women, Work, and Family Health: A Balancing Act

    Issue Brief

    This issue brief examines women's roles in family health care decision-making and coordination, the effect of that involvement for women who work, and women's caregiving responsibilities. This analysis is based on data from the 2001 Kaiser Women's Health Survey, a nationally representative sample of nearly 4,000 women between the ages of 18 and 64.

  • Study on the Consequences of Uninsurance Featured in a New Journal Supplement

    Other Post

    A June 2003 supplement of Medical Care Research and Review presents a compelling case that health insurance does lead to improved health and better access to care. The supplement, with Thomas Rice as guest editor, includes four commentaries on the topic by John Ayanian, Stuart Butler, Karen Davis, and Richard Kronick.

  • Participation in Welfare and Medicaid Enrollment

    Report

    This paper examines Medicaid enrollment and its relation to the rise and fall of enrollment in Aid to Families with Dependent Children (AFDC) or Temporary Assistance to Needy Families (TANF) programs.

  • Summary of Findings: Privatization of Public Hospitals

    Poll Finding

    This Summary presents background, findings, and data from the Economic and Social Research Institute's (ESRI) full report, Privatization of Public Hospitals. Section I provides background about public hospital conversions, including the role of public hospitals, reasons for conversion, the mechanisms of conversion and new ownership entities, and analysis of national and regional public hospital data.

  • Medicare Beneficiaries: A Population At Risk – Findings from the Kaiser/Commonwealth 1997 Survey of Medicare Beneficiaries

    Other Post

    Medicare Beneficiaries: A Population at RiskFindings from the Kaiser/Commonwealth Fund 1997 Survey of Medicare Beneficiaries Tables for Medicare Beneficiaries: A Population at RiskPart 1 Cathy Schoen, Patricia Neuman, Michelle Kitchman, Karen Davis, and Diane Rowland List of Tables Table 1 Medicare Beneficiary Demographics, by Poverty Status Table 2 Medicare Beneficiary Demographics, by Age Group Table…

  • Striving to Make Ends Meet:  Low-Income Families’ Finances and Health Coverage

    Other Post

    Striving to Make Ends Meet: Low-Income Families’ Finances and Health Coverage The Kaiser Commission on Medicaid and the Uninsured released new reports and held a policy briefing on the challenges and tradeoffs low-income families face when dealing with their budgets and the implications for health coverage.