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Workplace Wellness Programs Characteristics and Requirements

This issue brief summarizes what’s known about workplace wellness programs offered by employers today and the use of financial incentives to encourage workers to participate. Findings are drawn from the KFF/HRET Annual Employer Health Benefits Survey. In addition, the brief reviews proposed changes by the Equal Employment Opportunity Commission (EEOC) in federal standards governing financial incentives by workplace wellness programs and how these changes might balance the use of incentives against other discrimination and privacy protections.

Preventive Services Covered by Private Health Plans under the Affordable Care Act

This fact sheet, Preventive Services Covered by Private Health Plans under the Affordable Care Act (ACA), examines the types of preventive services or benefits that must be covered without cost sharing for adults and children. The fact sheet explores the rules and challenges of implementing coverage, as well as the application of reasonable medical management, and it outlines steps the government has taken to address these issues.

State-by-State Effects of a Ruling for the Challengers in King v. Burwell

A map and table showing the number of people now receiving premium subsidies who would lose them if the Court finds for the challengers; the total amount of federal subsidy dollars; the average subsidy (or average premium tax credit) that subsidized enrollees have qualified for; and the average increase in premiums that subsidized enrollees would face if the subsidies are disallowed.

How Have Insurers Fared Under the Affordable Care Act?

This analysis tracks the financial performance of insurers in the individual market by evaluating trends in the medical loss ratio (MLR) in the pre-ACA landscape from 2010 to 2013 and estimates the MLR for the first full year of Affordable Care Act implementation in 2014. Findings suggest that although performance varied among insurers, insurers overall had roughly comparable financial performance in 2014 as in recent prior years.