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Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender Individuals in the U.S.

Lesbian, gay, bisexual, and transgender (LGBT) individuals often face challenges and barriers to accessing needed health services and, as a result, can experience worse health outcomes. These challenges can include stigma, discrimination, violence, and rejection by families and communities, as well as other barriers, such as inequality in the workplace and health insurance sectors, the provision of substandard care, and outright denial of care because of an individual’s sexual orientation or gender identity. This issue brief examines population characteristics of the LGBT community including demographics, health challenges such as chronic conditions, HIV/AIDS epidemic and STIs, mental health and substance use, sexual and physical violence, adolescent and young adult health, and access to care and insurance coverage. Additionally, this brief examines the impacts of the Affordable Care Act (ACA), the recent Supreme Court rulings and other policy changes related to same-sex marriage on insurance coverage and access to health care services.

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The Henry J. Kaiser Family Foundation

Medicare and Medicaid at 50 Years: Perspectives of Beneficiaries, Health Care Professionals and Institutions, and Policy Makers

In this article for the Journal of the American Medical Association (JAMA), Drew Altman and former U.S. Senate Majority Leader William Frist examine the roles the Medicaid and Medicare play in the health system today from the perspectives of the public and beneficiaries, providers, and policymakers, and discusses the challenges they face in the future. The article is accompanied by an audio interview with Altman and Frist, who is a member of the Foundation’s board of trustees.

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The Henry J. Kaiser Family Foundation

New Article and Infographics in JAMA Examine Medicaid and Medicare at 50 Years

New Article and Infographics in JAMA Examine Medicaid and Medicare at 50 Years The July 28 special issue of the Journal of the American Medical Association (JAMA) includes an article written by Kaiser Family Foundation President and CEO Drew Altman and former U.S. Senate Majority Leader William H. Frist, MD, and…

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Visualizing Health Policy: Medicaid and Medicare at 50: Trends and Challenges

These Visualizing Health Policy infographics commemorate the 50th anniversary of the Medicaid and Medicare programs. This infographic provides details about the reach and demographics of the programs, as well as the Federal and total US health-care spending associated with them. This infographic illustrates trends and challenges going forward. Together, Medicaid and Medicare provide…

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The Henry J. Kaiser Family Foundation

Round 2 on the Legal Challenges to Contraceptive Coverage: Are Nonprofits “Substantially Burdened” by the “Accommodation”?

The Affordable Care Act (ACA) requires most private health insurance plans to provide coverage for a broad range of preventive services including Food and Drug Administration (FDA) approved prescription contraceptives and services for women. Since the implementation of the ACA contraceptive coverage requirement in 2012, over 200 corporations have filed lawsuits claiming that including coverage for contraceptives or opting for an “accommodation” from the federal government violates their religious beliefs. This brief explains the legal issues raised by the nonprofit litigation and discusses the impact of the Hobby Lobby decision on the current litigation.

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The Henry J. Kaiser Family Foundation

Data Note: Medicare Advantage Enrollment, by Firm, 2015

A number of potential mergers and acquisitions between large firms that offer health insurance have been reported in the press. These mergers could affect consumers in the individual market, enrollees in the new federal and state Marketplaces, employees with employer-sponsored insurance, as well as people covered by public programs such as Medicare. This Data Note examines the Medicare Advantage market share of large firms that have reportedly engaged in merger and acquisition discussions: Aetna, Anthem, Cigna, Humana, and UnitedHealthcare.

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The Henry J. Kaiser Family Foundation

Private and Public Coverage of Contraceptive Services and Supplies in the United States

This fact sheet reviews how coverage of contraceptives varies between private insurance under the Affordable Care Act (ACA) and publicly-funded programs, including Medicaid, Medicare, TRICARE, the Indian Health Service, and Title X funded clinics.

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The Henry J. Kaiser Family Foundation

10 FAQs: Medicare’s Role in End-of-Life Care

About three-quarters of decedents in the US each year are ages 65 and older, making Medicare the largest insurer of health care provided during the last year of life. These Frequently Asked Questions explain Medicare’s role in or coverage of end-of-life care, advance care planning, advance directives, and hospice care. They also provide information on Medicare spending on end-of-life care, changes to the physician fee schedule that policymakers are currently considering, and how related issues arose prior to the passage of the Affordable Care Act.

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The Henry J. Kaiser Family Foundation

New KFF Resources Provide the Latest Information on Public and Private Coverage of Contraceptives

Public programs and private health insurance now pay for the vast majority of contraceptive services and supplies for women. However, complex and shifting regulations shaped by state and federal policy, legal challenges to the Affordable Care Act’s contraceptive coverage provision, and other factors affect the scope of coverage. New resources…

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