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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...
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...
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/
KFF Examines Key Considerations for the Implementation of Insurance Coverage for Over-the-Counter Contraceptives
With federal regulators seeking public input on the potential benefits, costs, and implementation considerations of requiring private health insurance plans to cover over-the-counter preventive p...
Considerations for Covering Over-the-Counter Contraception
In October 2023, the Departments of the Treasury, Labor, and Health and Human Services issued a request for information to gather public input about the potential benefits, costs, and implementat...
https://www.kff.org/policy-watch/considerations-covering-over-the-counter-contraception/
KFF Examines Challenges in Navigating Coverage for Opill, t...er Daily Oral Contraceptive Pill, Coming to Market Next Year
As Opill—the first over-the-counter daily oral contraceptive pill in the United States—is expected to be available for purchase in early 2024, new research conducted by KFF examines barriers ...
Insurance Coverage of OTC Oral Contraceptives: Lessons from the Field
This report is based on 35 structured interviews conducted from January to August 2023, with nearly 80 experts and key players such as pharmacists, health plans, and state Medicaid officials invo...
Over-the-Counter Oral Contraceptive Pills
Oral contraceptives are the most commonly used method of reversible contraception in the U.S. In July 2023, the FDA approved Opill, the first daily oral contraceptive pill to become available ove...
https://www.kff.org/affordable-care-act/issue-brief/over-the-counter-oral-contraceptive-pills/
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 ...
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...
Private Insurers Expect to Pay $1.1 Billion in Rebates This Year for Setting Premiums Too High Relative to Medical Costs
Private insurance companies are expecting to pay out about $1.1 billion in rebates this fall under an Affordable Care Act (ACA) provision that requires insurers to spend the bulk of customers’ ...
2023 Medical Loss Ratio Rebates
This analysis finds that private insurance companies are expecting to pay out about $1.1 billion in rebates this fall under an Affordable Care Act (ACA) provision that requires insurers to spend ...
https://www.kff.org/private-insurance/issue-brief/medical-loss-ratio-rebates/
Large Shares of Women Report Needing Mental Health Services but Many Don’t Get Them
An analysis of 2022 KFF Women’s Health Survey (WHS) data finds that although large shares of women report needing mental health services over the past two years, a significant percentage did no...
Experiences with Health Care Access, Cost, and Coverage: Findings from the 2022 KFF Women’s Health Survey
This report presents findings from the 2022 KFF Women’s Health Survey (WHS) on women’s health status, use of health care services, and costs. The WHS is a nationally representative survey of ...
How ACA Marketplace Premiums Are Changing by County in 2023
This analysis details how ACA marketplace premiums are changing from 2022 to 2023, and the impact of subsidies to make them more affordable. Premiums vary based on location and metal level, and t...
2022 Survey of ACA Marketplace Assister Programs and Brokers
This survey of Marketplace assister programs and brokers tracks the experiences of professionals signing people up for Affordable Care Act coverage. It also examines the role that these programs ...
Private Insurers Expect to Pay $1 Billion in Rebates to Con...s Year for Setting Premiums Too High Relative to Medical Costs
Private insurance companies are expecting to pay out $1 billion in rebates to consumers this fall under an Affordable Care Act provision that requires insurers to spend the bulk of customers’ p...
For ACA Enrollees, How Much Premiums Rise Next Year is Mostly up to Congress
Most customers with coverage through Affordable Care Act's marketplaces will face big premium increases next year if Congress doesn’t extend the temporary enhanced tax credits included in the A...
Many Privately Insured People with Diabetes Could Save Money if Congress Caps Insulin Costs
Several legislative proposals in Congress propose a $35 per month cap on what people with health insurance would have to pay out of pocket for insulin, a life-saving hormone taken regularly by ma...