Ask KFF: Karen Pollitz Answers 3 Questions on Why Insurers Deny Claims March 6, 2019 Issue Brief Karen Pollitz, senior fellow for health reform and private insurance at KFF, answers three questions about denied claims and how the federal government may change the data insurers are required to report on this issue.
Private Insurers Are Expected to Pay a Record of At least $1.3 Billion in Rebates to Consumers Beginning in September for Excessive Premiums Relative to Health Care Expenses September 10, 2019 News Release Private insurance companies are expecting to pay out a record of at least $1.3 billion in rebates to consumers this fall based on their share of premium revenues devoted to health care expenses in recent years, surpassing the previous record high of $1.1 billion in 2012, according to a new…
Data Note: Changes in Enrollment in the Individual Health Insurance Market through Early 2019 August 21, 2019 Issue Brief This analysis measures changes in enrollment in the individual market, including those in both marketplace plans and off-exchange plans, before and after the ACA’s coverage expansions and market rules went into effect in 2014 through the first quarter of 2019.
As Policymakers Debate Medicare-for-All, Analysis Finds the Medicare Advantage, Individual and Group Health Insurance Markets Appear to Be Profitable, Especially Medicare Advantage August 5, 2019 News Release Three key private health insurance markets — Medicare Advantage, the individual market and the fully-insured group market — appear to be financially healthy and attractive to insurers, according to a new KFF analysis. The private Medicare Advantage market generates significantly larger gross margins per person than the individual market or…
Financial Performance of Medicare Advantage, Individual, and Group Health Insurance Markets August 5, 2019 Issue Brief Three key private health insurance markets — Medicare Advantage, the individual market and the fully-insured group market — appear to be financially healthy and attractive to insurers. The private Medicare Advantage market generates significantly larger gross margins per person than the individual market or fully-insured market. The future of these markets has become a focus for policymakers amid the debate over Medicare for All.
People who are eligible for ACA premium subsidies make up an increasingly larger share of the individual market August 2, 2018 Slide
Marketplace Premium Changes in 2019 Vary Dramatically By State November 1, 2018 Slide Our analysis of CMS data for states that use Healthcare.gov insurance exchanges revealed that marketplace premium changes vary dramatically state-to-state in 2019.
36 States Saw Uninsured Rate Increase in 2017, Including Some that Expanded Medicaid December 14, 2018 Slide The uninsured rate increased in 36 states in 2017, including some that expanded Medicaid. In KFF’s Chart of the Week, explore the uninsured rate increases and decreases for all 50 states.
Large Shares of Women Report Needing Mental Health Services but Many Don’t Get Them December 20, 2022 News Release An analysis of 2022 KFF Women’s Health Survey (WHS) data finds that although large shares of women report needing mental health services over the past two years, a significant percentage did not access services they felt they needed. Fifty percent of women ages 18-64 say they needed mental health services…
Experiences with Health Care Access, Cost, and Coverage: Findings from the 2022 KFF Women’s Health Survey December 20, 2022 Report This report presents findings from the 2022 KFF Women’s Health Survey (WHS) on women’s health status, use of health care services, and costs. The WHS is a nationally representative survey of 5,145 self-identified women ages 18 to 64, conducted May 10 – June 7, 2022.