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Key Facts About Hospitals | KFF
This analysis presents key facts about hospitals with more than 40 charts related to national spending on hospital care, characteristics of the hospital industry, rural hospitals, use of hospital care, out-of-pocket spending and medical debt, hospital prices, hospital finances, and charity care.
5 Key Facts about Medicaid Coverage for People with Disabilities | KFF
This brief considers options under consideration to cut Medicaid spending by $2.3 trillion over ten years and their potential impact on people with disabilities. Policy changes such as per capita caps, reduced federal funding for the ACA expansion, and Medicaid work requirements could require states to limit coverage, reduce benefits, or cut provider payments. Given their higher health care costs and reliance on Medicaid for essential services, people with disabilities could be especially affected.
Payment Rates for Medicaid Home Care: States’ Responses to Workforce Challenges | KFF
This issue brief describes states’ ongoing efforts to respond to shortages of home care workers and how they pay these workers, finding that increased payment rates are a key component of states’ efforts to address workforce shortages.
Skepticism Surrounding ADHD Diagnoses and Medication — The Monitor | KFF
This volume examines the impact of recent executive actions on federal health communication, along with concerns and stigmas surrounding ADHD diagnoses and treatments, including skepticism about pharmaceutical influence on medication promotion. It also explores distrust in food regulations following the FDA’s ban on Red Dye No. 3.
Eliminating the ACA Medicaid Expansion Match Could Reduce Total Medicaid Spending by Up To $1.9 Trillion Over 10 Years and End Coverage for 20 Million People | KFF
A new KFF analysis finds that a congressional proposal to significantly cut federal spending on the Affordable Care Act’s Medicaid expansion could reduce total Medicaid spending by up to nearly one-fifth, or $1.9 trillion, over a 10-year period, and end Medicaid coverage for as many as 20 million people. The impacts would be felt in<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/affordable-care-act/press-release/eliminating-the-aca-medicaid-expansion-match-could-reduce-total-medicaid-spending-by-up-to-1-9-trillion-over-10-years-and-end-coverage-for-20-million-people/" class="see-more light-beige no-float inline-readmore">More</a></p>
Eliminating the Medicaid Expansion Federal Match Rate: State-by-State Estimates | KFF
This analysis examines the potential impacts on states and Medicaid enrollees of eliminating the 90% federal match rate for the Affordable Care Act (ACA) expansion. Eliminating the federal match rate for adults in the Medicaid expansion could reduce Medicaid spending by nearly one-fifth ($1.9 trillion) over a 10-year period and up to nearly a quarter of all Medicaid enrollees (20 million people) could lose coverage.
How Much Global Health Funding Goes Through USAID? | KFF
This analysis highlights USAID's role in global health and shows that the agency provided the vast majority of the nation's global health assistance for other countries in 2023 (about $6.2 billion or 73% of the total bilateral global health funding that year).
What Drives Differences in Life Expectancy between the U.S. and Comparable Countries? | KFF
This analysis compares 2021 data about deaths in the U.S. and 11 other large, wealthy countries by age and cause to understand the primary drivers of the longevity gap between the U.S. and the comparable countries. It finds that the primary reasons for the gap in 2021 were chronic disease, COVID-19 and substance use disorders.
5 Key Facts About Medicaid Work Requirements | KFF
Work requirements in Medicaid have resurfaced as part of a broader legislative package of potential changes to Medicaid designed to significantly reduce federal Medicaid spending. This brief highlights five key facts about Medicaid work requirements, including the share of Medicaid enrollees who currently work, what research shows about the impact of work requirements, and the administrative burdens associated with implementing them.
KFF Prescription Drug Advertisements Poll: January 2025 | KFF
KFF’s January 2025 Prescription Drug Advertisements Poll looks at the public's experiences with prescription drug advertisements, whether they've talked to a doctor about advertised drugs, and how this has influenced the care they receive.
A Look at Federal Health Data Taken Offline | KFF
This post looks at federal government databases with key health data that went offline on Jan. 31, 2025, including several related to HIV, some of which had returned by Feb. 2, 2025. It briefly describing the affected databases, which include widely used, large-scale national health surveys, indices, and data dashboards, that inform research, policy making, and media coverage about health care and public health.
Potential Impacts of Mass Detention and Deportation Efforts on the Health and Well-Being of Immigrant Families | KFF
This brief discusses the potential implications of increased enforcement actions under the Trump administration for the health and well-being of families and potential broader impacts for communities, the workforce, and the economy, including health care.
Understanding the Intersection of Medicaid and Work: An Update | KFF
Amid renewed interest in Medicaid work requirements as part of a broader legislative package designed to significantly reduce federal Medicaid spending, KFF has updated its analysis of the work status and demographic characteristics of Medicaid enrollees with the latest data. Data show that, in 2023, 92% of Medicaid adults were either working full or part-time (64%), or were not working due to barriers to work such as caregiving responsibilities, illness or disability, or school attendance -- reasons that counted as qualifying exemptions from the work requirements under previous policies.
Congressional District Interactive Map: How Much Will ACA Premium Payments Rise if Enhanced Subsidies Expire? | KFF
This analysis and interactive map illustrate how much more enrollees in Affordable Care Act (ACA) Marketplace plans would pay in premiums at the congressional district level if the enhanced subsidies were to expire in 2026 as under current law. The tool presents scenarios for an older couple who would lose subsidy eligibility due to their income level and for a single person with a $31,000 income. It also presents net average premium payment increases in each district in states that use Healthcare.gov.
A Look at Medicaid Enrollment and Finances of the Five Largest Medicaid Managed Care Plans | KFF
This brief examines enrollment and financial data through the end of September 2024 from quarterly company earnings reports and calls, financial filings, and other company materials as well as from national administrative data.
Medicaid 1115 Waiver Watch: Round-up of Key Themes at the End of the Biden Administration | KFF
Section 1115 Medicaid demonstration waivers offer states an avenue to test new approaches in Medicaid that differ from what is required by federal statute, so long as the approach is likely to “promote the objectives of the Medicaid program.” Waivers generally reflect priorities identified by states as well as changing priorities from one presidential administration to another. The Biden administration encouraged states to propose waivers that expand coverage, reduce health disparities, advance whole-person care, and improve access to behavioral health care. Looking ahead, the new Trump administration’s waiver priorities will likely differ significantly from those of the Biden administration. However, it is unclear how the Trump administration will treat certain waivers promoted and approved by the Biden administration.
Skepticism About Vaccines and Response to Bird Flu — The Monitor | KFF
This volume shares findings from the latest KFF Tracking Poll on Health Information and Trust, along with updates from Robert Kennedy Jr’s senate hearings. It also examines distrust in public health messaging about bird flu, motivations for sharing information online, and how fraudulent research can sometimes inform AI chatbot models.
Medicare Advantage Insurers Made Nearly 50 Million Prior Authorization Determinations in 2023 | KFF
Nearly 50 million prior authorization requests were submitted to Medicare Advantage insurers on behalf of Medicare Advantage enrollees in 2023, of which 3.2 million (6.4%) were denied. Just 11.7% of denied requests were appealed, though 81.7% of appeals overturned the initial denial in Medicare Advantage. Substantially fewer prior authorization requests were made in traditional Medicare, reflecting the small number of services subject to prior authorization requirements.
Overview of President Trump’s Executive Actions on Global Health | KFF
This guide provides an overview of executive orders and other executive actions made by the Trump Administration since January 21, 2025 that directly address or affect U.S. global health efforts. This resource identifies each executive action, describes its purpose and actions taken, and outlines the implications and what happens next for each. The resource will be updated as needed.
Feb. 10 Virtual Event: The Health Wonk Shop: What’s Next for the Affordable Care Act? | KFF
Health coverage enrollment through the Affordable Care Act (ACA) marketplaces now exceeds 24 million people, a dramatic increase in recent years fueled largely by enhanced premium aid, which started in 2021 as part of the American Rescue Plan Act and extended through 2025 under the Inflation Reduction Act. But, with the subsidies set to expire<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/affordable-care-act/event/feb-10-virtual-event-the-health-wonk-shop-whats-next-for-the-affordable-care-act/" class="see-more light-beige no-float inline-readmore">More</a></p>
Emergency Contraception | KFF
This fact sheet reviews current national and state policies around Emergency Contraception, including methods, patient awareness, access and availability, and insurance coverage. Among methods discussed are ulipristal acetate (ella), intrauterine devices (copper IUDs and levonorgestrel IUDs), and progestin-based pills (Plan B and Next Choice).
KFF Tracking Poll on Health Information and Trust: January 2025 | KFF
As Senate hearings begin for President Trump’s health nominees, including Robert F. Kennedy Jr., the latest KFF Tracking Poll on Health Information and Trust shows a decline in public trust for government health agencies like the CDC, FDA, and local public health officials. The poll reveals growing skepticism about vaccines and school vaccine requirements, especially among Republicans and parents, while misinformation about vaccine safety persists. Despite low concern about the H5N1 bird flu, the U.S. public is divided on how prepared they believe the government is for future health crises or pandemic.
Feb. 10 Virtual Event: The Health Wonk Shop: What’s Next for the Affordable Care Act? | KFF
Health coverage enrollment through the Affordable Care Act (ACA) marketplaces now exceeds 24 million people, a dramatic increase in recent years fueled largely by enhanced premium aid, which started in 2021 as part of the American Rescue Plan Act and extended through 2025 under the Inflation Reduction Act. But, with the subsidies set to expire<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/other/event/feb-10-virtual-event-the-health-wonk-shop-whats-next-for-the-affordable-care-act/" class="see-more light-beige no-float inline-readmore">More</a></p>
Claims Denials and Appeals in ACA Marketplace Plans in 2023 | KFF
This brief analyzes federal transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group qualified health plans (QHPs) offered on HealthCare.gov in 2023. It finds that HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services. Information about the reasons for denials is limited, and few consumers appeal claims denials.
HealthCare.gov Insurers Denied Nearly 1 in 5 In-Network Claims in 2023, but Information About Reasons is Limited in Public Data | KFF
HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services and an even larger share (37%) share of claims for out-of-network services in 2023, a new KFF analysis finds. The analysis examines the main source of publicly available data on claims denials and appeals for individual-market plans available through the<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/affordable-care-act/press-release/healthcare-gov-insurers-denied-nearly-1-in-5-in-network-claims-in-2023-but-information-about-reasons-is-limited-in-public-data/" class="see-more light-beige no-float inline-readmore">More</a></p>
Poll: Trust in Public Health Agencies and Vaccines Falls Amid Republican Skepticism | KFF
As President Trump begins his second term, the public’s trust in health information from key health agencies has fallen over the past 18 months, continuing a decline that began during the COVID-19 pandemic, finds the new KFF Tracking Poll on Health Information and Trust. Just over half (53%) of the public now says they trust<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/health-information-and-trust/press-release/poll-trust-in-public-health-agencies-and-vaccines-falls-amid-republican-skepticism/" class="see-more light-beige no-float inline-readmore">More</a></p>
Medicaid Section 1115 Waivers: The Basics | KFF
Section 1115 Medicaid demonstration waivers offer states an avenue to test new approaches in Medicaid that differ from what is required by federal statute. Nearly all states have at least one active Section 1115 waiver and some states have multiple 1115 waivers. This brief explains what Section 1115 waivers are and how they are used, summarizes key waiver requirements, and outlines the application and approval process.
Title 42 and its Impact on Immigration and Migrant Families | KFF
This brief provides an explanation of Title 42 and its application in border regions, the impact of Title 42 on border expulsions and the health and well-being of migrants during COVID-19, and a discussion of the potential implications of reinvoking Title 42 restrictions for immigration and the health of migrants.
As Congress Looks to Reduce Federal Spending, Medicare and Medicaid Remain Broadly Popular, and At Least Twice as Many People Want to Increase Spending Rather Than Cut It | KFF
With the incoming Trump administration and Republican-led Congress looking to ways to reduce federal spending, a new KFF Health Tracking Poll finds that the Medicare and Medicaid programs remain broadly popular, and more people favor more spending on those programs than less spending. About eight in 10 Americans overall view Medicare (82%) and Medicaid (77%)<span class="readmore-ellipsis">…</span><a href="https://www.kff.org/health-costs/press-release/as-congress-looks-to-reduce-federal-spending-medicare-and-medicaid-remain-broadly-popular-and-at-least-twice-as-many-people-want-to-increase-spending-rather-than-cut-it/" class="see-more light-beige no-float inline-readmore">More</a></p>
Misleading Narratives and Social Media Shape Contraception Perceptions — The Monitor | KFF
This volume examines misleading claims about birth control, focusing on the mischaracterization of emergency contraceptives as abortifacients, the influence of social media on patient-provider communication, and online messages that inaccurately promote fertility awareness methods as safer alternatives.
KFF Health Tracking Poll: Public Weighs Health Care Spending and Other Priorities for Incoming Administration | KFF
With the incoming Trump administration and Republican-led Congress looking to ways to reduce federal spending, this Poll finds that the Medicare and Medicaid programs remain broadly popular, and more people favor more spending on those programs than less spending. Among potential actions on health, the public sees price transparency and limiting chemicals in food as top priorities. Few say so about cuts to Medicaid and restrictions on abortion.
A Look at ACA Coverage through the Marketplaces and Medicaid Expansion Ahead of Potential Policy Changes | KFF
In 2024, ACA enrollment (including Marketplace, Medicaid expansion, and BHP) reached 44 million, or 16.4% of the nonelderly U.S. population. From 2020-2024, enrollment in ACA coverage increased by over 60%.