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The Henry J. Kaiser Family Foundation

Medicare Part D 2010 Data Spotlight: Prices for Brand-Name Drugs in the Coverage Gap

This Medicare Part D data spotlight finds prices for some commonly used brand-name drugs rising in 2010 for beneficiaries who reach the coverage gap (or “doughnut hole”), with increases since 2006 far exceeding the growth in inflation.

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The Henry J. Kaiser Family Foundation

The Medicare Part D Coverage Gap: Costs and Consequences in 2007

This study quantifies the number of Medicare Part D plan enrollees in 2007 who reached a gap in their prescription drug coverage known as the “doughnut hole,” as well as the changes in beneficiaries’ use of medications and out-of-pocket spending after they reached that gap.

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2014 Employer Health Benefits Survey

This annual Employer Health Benefits Survey (EHBS) provides a detailed look at trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing provisions, and other relevant information. The 2014 EHBS survey finds average family health premiums rose 3 percent in 2014, relatively modest growth by historical standards.

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The Henry J. Kaiser Family Foundation

Community Health Centers: A 2012 Profile and Spotlight on Implications of State Medicaid Expansion Decisions

Community health centers are an integral part of the health care safety-net, providing access to care for over 21 million people in the U.S. The ACA made a major investment in the health center program, and expanded health coverage will provide new revenues to health centers, permitting grant funding to support care of the uninsured to go further. This annual update provides a pre-ACA snapshot of community health centers and also examines newly reported data on “look-alike” health centers. In addition, the brief highlights significant differences between the profiles and revenue situations of health centers in Medicaid expansion and non-expansion states in 2012, before the ACA coverage expansions took effect. Finally, it considers financial challenges facing health centers and the implications of state Medicaid decisions for health centers and their capacity to ensure access to care for low-income communities they serve.

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Web Briefing: What Worked, What’s Next? Strategies in Four States Leading ACA Enrollment Efforts

On Monday, July 28, the Kaiser Family Foundation held an interactive web briefing to examine the experiences and lessons of four states — Colorado, Connecticut, Kentucky, and Washington — that each established state-based Marketplaces, expanded their Medicaid programs, and successfully enrolled eligible individuals into Medicaid and Marketplace coverage under the…

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The Henry J. Kaiser Family Foundation

Web Briefing: What Worked, What’s Next? Strategies in Four States Leading ACA Enrollment Efforts

On Monday, July 28 from 1 p.m. to 2:00 p.m. EDT, the Kaiser Family Foundation will hold an interactive web briefing to examine the experiences and lessons of four states – Colorado, Connecticut, Kentucky, and Washington – that each established state-based Marketplaces, expanded their Medicaid programs, and successfully enrolled eligible…

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The Henry J. Kaiser Family Foundation

Disparities in Health and Health Care: Five Key Questions and Answers

Executive Summary 1. What are Health and Health Care Disparities? Health and health care disparities refer to differences in health and health care between population groups. “Health disparity,” generally refers to a higher burden of illness, injury, disability, or mortality experienced by one population group relative to another group. A…

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The Henry J. Kaiser Family Foundation

The Ohio Health Care Landscape

This fact sheet provides an overview of population health, health coverage, and health care delivery in Ohio under the Affordable Care Act (ACA).

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The Henry J. Kaiser Family Foundation

Visualizing Health Policy: Recent Trends in Employer-Sponsored Insurance

This Visualizing Health Policy takes a look at recent trends in employer-sponsored insurance, including average premium increases for workers with family coverage, the average yearly cost of premiums for single and family coverage and how those costs have increased in the past decade, along with the prevalence of health promotion…

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The Henry J. Kaiser Family Foundation

Estimating Federal Payments and Eligibility for Basic Health Programs: An Illustrative Example

In some states, policymakers and stakeholders are considering adoption of the Basic Health Program (BHP) option permitted under the Patient Protection and Affordable Care Act (ACA). Federal regulations allow BHP implementation beginning in 2015. Through BHP, consumers with incomes at or below 200 percent of the federal poverty level (FPL) who would otherwise qualify for subsidized qualified health plans (QHPs) offered in health insurance marketplaces instead are offered state-contracting standard health plans that provide coverage no less generous and affordable than what have been provided in the marketplace. To operate BHPs, states receive federal funding equal to 95 percent of the premium tax credits (PTCs) and cost-sharing reductions (CSRs) that BHP enrollees would have received if they had been covered through QHPs. This paper seeks to inform state-level analysts about the characteristics of BHP-eligible people in their state and how to use that information to estimate the approximate federal BHP payment amount per average BHP-eligible resident.

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