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The Henry J. Kaiser Family Foundation

The Coverage Provisions in the Affordable Care Act: An Update

The Affordable Care Act (ACA) includes numerous reforms to the individual and group health insurance markets, expands Medicaid to more low-income adults, and creates health insurance Marketplaces where subsidies are available to lower the cost of coverage. These changes are designed to increase access to affordable health coverage. This brief examines these coverage provisions, provides an update on how they have been implemented, and assesses their impact.
FRAMEWORK OF THE ACA
Like previous attempts at health care reform, the ACA was structured to address the gaps and limitations of our public-private health insurance system. It builds on employer-based coverage, restructures the individual insurance market, and broadens access to and affordability of coverage by expanding Medicaid for the low-income population and extending tax subsidies for the purchase of private insurance to those with moderate incomes.

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The Henry J. Kaiser Family Foundation

ACA 101: What You Need To Know

On Friday, March 6, 2014, the Kaiser Family Foundation and the Alliance for Health Reform host an ACA 101 briefing on the Affordable Care Act. The briefing takes place just as the second marketplace enrollment period ends, and the Supreme Court hears oral arguments in a case challenging the law’s subsidies (King v Burwell).

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The Henry J. Kaiser Family Foundation

New Kaiser Policy Insight and Issue Brief Examine Policy Implications and Legal Arguments in the U.S. Supreme Court’s King v. Burwell Case

With the Supreme Court set to hear oral arguments in King v. Burwell on March 4, a new Policy Insight from the Kaiser Family Foundation’s Larry Levitt and Gary Claxton explores the policy implications for consumers and insurance markets if the Court were to side with the plaintiffs in the…

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The Henry J. Kaiser Family Foundation

Are Premium Subsidies Available in States with a Federally-run Marketplace? A Guide to the Supreme Court Argument in King v. Burwell

This issue brief examines the major questions raised by King v. Burwell, explains the parties’ legal arguments, and considers the potential effects of a Supreme Court decision about the availability of the Affordable Care Act’s premium subsidies in states with a Federally-run Marketplace.

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The Henry J. Kaiser Family Foundation

Insurance Markets in a Post-King World

This perspective addresses how insurance markets might respond if the US Supreme Court sides with the plaintiffs in the King v. Burwell case. The case challenges the legality of premium and cost-sharing subsidies for low- and middle-income people buying insurance in states where the federal government rather than the state is operating the marketplace under the Affordable Care Act (ACA).

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The Henry J. Kaiser Family Foundation

The Health-Care Enrollment Story Is in the States

In his latest column for The Wall Street Journal’s Think Tank, Drew Altman examines the variation among states beneath the national Affordable Care Act’s Marketplace enrollment numbers released by the U.S. Department of Health and Human Services. All previous columns by Drew Altman are available online.

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The Henry J. Kaiser Family Foundation

The Health-Care Enrollment Story Is in the States

In this column for The Wall Street Journal’s Think Tank, Drew Altman examines the variation among states beneath the national Affordable Care Act’s Marketplace enrollment numbers released by the Department of Health and Human Services.

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The Henry J. Kaiser Family Foundation

New Reports Analyze Cost Sharing in 2015 ACA Marketplace Plans in 37 States

Charts Examine Savings from Subsidies at Stake in U.S. Supreme Court Case Cost-sharing subsidies under the Affordable Care Act can substantially reduce deductibles and other cost sharing for people with low incomes purchasing coverage in the federally-facilitated insurance marketplace serving 37 states, a new analysis by the Kaiser Family Foundation…

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The Henry J. Kaiser Family Foundation

Cost-Sharing Subsidies in Federal Marketplace Plans

This brief and the accompanying slides examine reduction of cost sharing – deductibles, copayments and coinsurance – in the Affordable Care Act’s (ACA) federally-facilitated marketplaces. The analysis shows how cost-sharing subsidies reduce the cost of deductibles, out-of-pocket limits, physician visits, emergency room visits and prescription drug costs in silver plans for low-income people (people whose income is 250 percent of the federal poverty level or below).

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The Henry J. Kaiser Family Foundation

The Cost of Care with Marketplace Coverage

This brief and accompanying slides examine cost sharing – deductibles, copayments and coinsurance – in 2015 insurance plans sold on the Affordable Care Act’s (ACA) federally-facilitated marketplaces. The analysis looks at out-of-pocket limits, as well as cost sharing for hospital stays, physician visits, emergency room visits, and prescription drugs, for plans across the metal levels (platinum, gold, silver and bronze).

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