In states that do not implement the Medicaid expansion under the Affordable Care Act (ACA), many adults will fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits. Nationwide, nearly four million poor uninsured adults are in this situation.This brief describes the population in the coverage gap and discusses the implications of them being left out of ACA coverage expansions.
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This fact sheet discusses the insurance coverage situation in the US up to the ACA and during the early stages of coverage reforms. It also features a brief examination of how the uninsured have changed over time, the early data on coverage expansions, and a discussion on health and financial implications of being uninsured
This brief describes health insurance subsidies available through the Affordable Care Act’s marketplaces, including premium subsidies that would be provided in the form of tax credits, as well as other subsidies that would lower cost-sharing to eligible Americans. It provides details on who is eligible for the assistance, the maximum repayment limits for the credits, and out-of-pocket spending limits.
This issue brief provides an overview of the Medicare Part D stand-alone prescription drug plan options available in 2015 and key changes from prior years. The analysis examines Part D plan availability, premiums, benefit design features, and low income subsidy plan availability.
This brief provides an overview of the Medicaid Incentives for the Prevention of Chronic Diseases (MIPCD) grants and highlights key findings from the interim evaluation of the program. The brief also places these grants in context of pre-Affordable Care Act (ACA) Medicaid beneficiary incentive programs and proposed programs of states that are incorporating healthy behavior incentives into Medicaid expansion waivers.
A new comprehensive Kaiser Family Foundation report analyzes key trends that have shaped the Medicare Part D marketplace since the program launched nine years ago, providing a detailed assessment of changes in plan availability, enrollment, premiums and cost sharing in both private stand-alone drug plans, and Medicare Advantage drug plans.
This report presents findings from an analysis of the Medicare Part D marketplace in 2014 and changes in features of the drug benefit offered by Part D plans since 2006. It examines the latest information and trends related to Part D enrollment and plan availability, premiums, benefit design and cost sharing, pharmacy networks, the Low-Income Subsidy Program, and plan performance ratings.
The Uninsured Population in Texas: Understanding Coverage Needs and the Potential Impact of the Affordable Care Act
This report profiles the uninsured in Texas, their access to care and coverage, and how the ACA could impact them. It compares the circumstances that the uninsured in Texas encounter to those that the insured encounter. This report relies upon the Kaiser Survey of Low-Income Americans and the ACA.
This fact sheet provides an overview of the Medicaid program, the populations it serves, the services it covers, how care is delivered, and how the program is financed. Medicaid’s expanded role under the Affordable Care Act (ACA) and other important changes in Medicaid stemming from the health reform law are highlighted.
This issue brief provides an overview of new Medicaid enrollment data released by Centers for Medicare and Medicaid Services and its interpretation to assess the influence of the ACA on Medicaid enrollment.