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Coverage of Sexual and Reproductive Health Services in Medicare
This brief describes Medicare coverage of sexual and reproductive health services, including contraception, and compares that coverage with private insurance plans and Medicaid. These benefits ar...
What resources are available for privately insured patients who get surprise balance bills?
Most patients do not know about the new surprise billing protections and likely also do not know of resources available to seek recourse for incorrect medical bills. This brief provides resources...
Charges for Emails with Doctors and other Healthcare Providers
Patient-provider email messaging accelerated early in the COVID-19 pandemic as more patients sought medical care remotely, and the addition of billing codes for digital health services and subseq...
Preventive Services Covered by Private Health Plans under the Affordable Care Act
Note: This content was updated on February 28, 2024 to incorporate new FAQs from CMS. Tables 1 and 2 were also updated to include updated recommendations. It has been more than ten years sinc...
People with Medical Debt are Much More Likely to Experience Other Forms of Financial Stress
People with medical debt are much more likely than those without such debt to show other signs of financial vulnerability, like having no “rainy day” fund, overdrawing a checking account, or ...
How Financially Vulnerable are People with Medical Debt?
This analysis of government data finds that people with medical debt are much more likely to have other forms of financial distress than those without medical debt, like having no “rainy day”...
The Burden of Medical Debt in the United States
This analysis uses government data to examine the burden of medical debt, including variations based on state, age, race and ethnicity, and health status. It estimates that people in the United S...
https://www.kff.org/health-costs/issue-brief/the-burden-of-medical-debt-in-the-united-states/
New $2,000 Medicare Part D Cap Could Reduce Out-of-Pocket D... Including Tens of Thousands of Beneficiaries in Most States
A KFF analysis shows that a new out-of-pocket spending cap in Medicare Part D could translate into savings for well over 1 million beneficiaries when it takes effect next year, including more tha...
Millions of People with Medicare Will Benefit from the New Out-of-Pocket Drug Spending Cap Over Time
In 2025, Medicare beneficiaries will pay no more than $2,000 out of pocket for prescription drugs covered under Part D, Medicare’s outpatient drug benefit, due to a provision in the Inflation R...
3 Charts: Medicare Drug Price Negotiations
Under the Inflation Reduction Act, the federal government for the first time will negotiate directly with drug companies to determine the prices that Medicare will pay for certain high expenditur...
FAQs about the Inflation Reduction Act’s Medicare Drug Price Negotiation Program
The Centers for Medicare & Medicaid Services (CMS) recently issued initial guidance describing CMS’s plans for implementation of the new Medicare Drug Price Negotiation Program, which was estab...
How Does Cost Affect Access to Care?
This slideshow examines how cost and insurance affects people's access to care, including decisions to forgo or delay needed care and access to a usual source of care.
https://www.kff.org/slideshow/cost-of-insurance-and-its-affect-on-access-to-care-slideshow/
How Do Health Expenditures Vary Across the Population?
This slideshow explores the variation in health spending across the population through an analysis of the 2019 Medical Expenditure Panel Survey (MEPS) data. It finds that 5% of the population wit...
https://www.kff.org/slideshow/how-health-expenditures-vary-across-the-population-slideshow/
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/
Lower-Income People with Employer Coverage are More Likely ...comes Due to Insurance Problems Than Their Higher-Income Peers
Lower-income adults with employer coverage are more likely than their higher-income peers to report negative outcomes due to problems using their insurance, a new KFF analysis shows. Drawing on...
Lower Income Adults with Employer Sponsored Insurance Face Unique Challenges with Coverage Compared to Higher Income Adults
This analysis examines the experiences of lower income adults with their employer sponsored insurance and finds they were more likely to self-report problems with affordability, enrollment, and n...
Medicare Advantage Has Become More Popular Among the Shrinking Share of Employers That Offer Retiree Health Benefits
This analysis examines the extent to which large private and non-federal public employers that offer retiree health benefits are turning to Medicare Advantage and why they are making this shift, ...
Medicare Advantage 2024 Spotlight: First Look
For 2024, the average Medicare beneficiary has access to 43 Medicare Advantage plans and can choose from plans offered by 8 firms. Among the majority of Medicare Advantage plans that cover prescr...
https://www.kff.org/medicare/issue-brief/medicare-advantage-2024-spotlight-first-look/
With Medicare Open Enrollment Underway, Beneficiaries Typic...Consistent with 2023 But More than Double The Number From 2018
With open enrollment underway, Medicare beneficiaries have until December 7th to review and select their coverage for 2024. They also have a lot of options to choose from, as two new KFF analyses...
Medicare Part D in 2024: A First Look at Prescription Drug Plan Availability, Premiums, and Cost Sharing
Medicare Part D prescription drug coverage is available for people with Medicare who enroll in private plans, either a stand-alone prescription drug plan (PDP) for people in traditional Medicare,...