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Final Prior Authorization Rules Look to Streamline the Process, but Issues Remain
This brief examines the final CMS regulations governing prior authorization in Medicare Advantage, Marketplace, Medicaid, and other plans, how they might address some current consumer concerns, a...
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...
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...
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...
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...
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...
Americans’ Challenges with Health Care Costs
This data note reviews our recent polling data that finds that Americans struggle to afford many aspects of health care, including disproportionate shares of uninsured adults, Black and Hispanic ...
https://www.kff.org/health-costs/issue-brief/americans-challenges-with-health-care-costs/
Employer Responsibility Under the Affordable Care Act
The Affordable Care Act does not require businesses to provide health benefits to their workers, but applicable large employers may face penalties if they don’t make affordable coverage availab...
https://www.kff.org/infographic/employer-responsibility-under-the-affordable-care-act/
Since Dobbs, Few Large Firms Have Changed Their Plan’s Abortion Coverage Policy
According to an analysis of responses to KFF’s Employer Health Benefits Survey in 2023, relatively few (8%) large firms (with 200 or more workers) offering health benefits report reducing or ex...
Coverage of Abortion in Large Employer-Sponsored Plans in 2023
This brief presents findings from the 2023 KFF Employer Health Benefits Survey on coverage of abortion services in large employer-sponsored health plans, changes employers made to abortion covera...
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...
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...
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/
Commercialization of COVID-19 Vaccines, Treatments, and Tests: Implications for Access and Coverage
With the depletion of the federal-purchased supply of COVID-19 vaccines, treatments and tests following the end of the public health emergency, this resource provides an overview of the implicati...
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...
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/
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/
Year in Review: 10 Health Policy Issues for 2023
This fact sheet offers a look back at 10 issues that KFF tracked closely during 2023 in its polling, policy analysis and journalism, including summaries of major findings and news stories.
https://www.kff.org/affordable-care-act/fact-sheet/year-in-review-10-health-policy-issues-for-2023/
What are the recent trends in employer-based health coverage?
This chart collection presents analysis of data from recent Annual Economic and Social Supplements (ASEC) of the Current Population Survey (CPS) to examine who among non-elderly people has employ...
https://www.kff.org/health-costs/issue-brief/long-term-trends-in-employer-based-coverage/
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...