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Upcoming SCOTUS Case Could Weaken the Impact of Regulation on Key Patient and Consumer Protections
This brief discusses the longstanding legal doctrine, Chevron deference, being challenged in two cases before the U.S. Supreme Court and includes examples of what could be at stake for health car...
Access to Adult Dental Care Gets Renewed Focus in ACA Marketplace Proposal
Adult dental care can lead to high out of pocket costs for consumers, especially for those with private insurance coverage. This post analyzes a proposed provision in the HHS Notice of Benefit an...
5 Charts About Public Opinion on the Affordable Care Act
This compiles key polling data examining the favorability of the Affordable Care Act and its provisions, including protections for people with pre-existing conditions and the impact of the law on...
Another Year of Record ACA Marketplace Signups, Driven in Part by Medicaid Unwinding and Enhanced Subsidies
Open enrollment for the Affordable Care Act (ACA) Marketplaces is about to wrap up with another record high number of people signing up for coverage. Factors that contribute to this increase incl...
Record ACA Marketplace Signups for 2024 Are Driven in Part by Medicaid Unwinding and More Affordable Coverage
Enrollment in the Affordable Care Act (ACA) Marketplaces will hit another record high in 2024, with sign-ups to date topping 20 million—already 4 million above last year’s record high. The Me...
With More than Half of Medicaid Enrollees Awaiting their Re...Efforts and Reduce Disenrollments for “Procedural” Reasons
At the beginning of 2024, nine months into states’ efforts to unwind the Medicaid continuous enrollment provision and reverify enrollees’ eligibility, states have completed renewals for less ...
Deductibles in ACA Marketplace Plans, 2014-2024
This analysis documents average deductibles for Affordable Care Act Marketplace plans available on Healthcare.gov for all metal tiers, including silver plans after cost-sharing reductions are app...
https://www.kff.org/affordable-care-act/issue-brief/deductibles-in-aca-marketplace-plans/
10 Million Have Been Disenrolled from Medicaid; Some Could Find Themselves Eligible for Marketplace Subsidies
More than 10 million people have been disenrolled from Medicaid, based on data available from 50 states and the District of Columbia as of November 1, 2023. Disenrollment rates range from 65% in ...
As Open Enrollment Begins, KFF’s Updated Subsidy Calculator and 300+ FAQs Demystify ACA Marketplaces
A recent KFF survey found one-in-three people with Marketplace coverage say it is somewhat or very difficult to find a plan that meets their needs. With ACA enrollment beginning November 1, KFF h...
What to Watch in the 2024 ACA Open Enrollment
With the start of the 2024 Affordable Care Act open enrollment, the Marketplaces have been operating for a full decade and are heading into their eleventh year. This policy watch outlines changes...
https://www.kff.org/policy-watch/what-to-watch-in-2024-aca-open-enrollment/
Signing Up for Marketplace Coverage Remains a Challenge for Many Consumers
As open enrollment begins for Marketplace plans, this Policy Watch provides information about consumer experiences with Marketplace sign up from the 2023 KFF Consumer Survey. Data from the survey...
Health Insurance Marketplace Calculator
The Health Insurance Marketplace Calculator, updated with 2024 premium data, provides estimates of health insurance premiums and subsidies for people purchasing insurance on their own in health i...
Calculadora del Mercado de Seguros Médicos
2024 Esta calculadora ilustra las primas (el costo mensual de su seguro) y subsidios para las personas que compran seguro médico por su propia cuenta en el nuevo mercado de seguros de salud (o d...
Explaining Health Care Reform: Questions About Health Insurance Subsidies
This brief provides an overview of the financial assistance provided under the ACA for people purchasing coverage on their own through health insurance Marketplaces (also called exchanges).
Already at Record High, ACA Marketplace Enrollment Could Increase Further
Enhanced Marketplace subsidies have continued to drive up enrollment in the individual market, and the loss of Medicaid coverage by millions of people could contribute to this trend, according to...
As ACA Marketplace Enrollment Reaches Record High, Fewer Are Buying Individual Market Coverage Elsewhere
This analysis looks at how many people are signed up for each type of individual ACA Marketplace coverage—both on- and off-Marketplace and with or without subsidies—as of early 2023 based on ...
Marketplace Insurers are Proposing a 6% Average Premium Hike for 2024 and Pointing to Inflation as a Key Driver of Costs
ACA Marketplace insurers are requesting a median premium increase of 6% for 2024, according to a new KFF analysis of the preliminary rate filings. Insurers’ proposed rate changes – most of wh...
How much and why 2024 premiums are expected to grow in Affordable Care Act Marketplaces
This analysis of insurers' preliminary rate filings shows that ACA Marketplace insurers are requesting a median premium increase of 6% for 2024. Insurers cite price increases for medical care and...
Standardized Plans in the Health Care Marketplace: Changing Requirements
This brief examines the evolving requirements for insurers on HealthCare.gov to offer standardized plans that follow set cost sharing rules for covered benefits in addition to other plans they mi...
Claims Denials and Appeals in ACA Marketplace Plans in 2021
This analysis of HealthCare.gov Marketplace insurers' transparency data finds that 17% of in-network claims were denied in 2021, with denial rates varying widely across insurers. Consumers appeal...