Health Insurance

Millions of Americans possess insurance cards yet hesitate to use them. Escalating premiums, deductibles, and out-of-pocket expenses now impact not only low-income families but nearly everyone except the wealthiest. Annual out-of-pocket costs for a family of four now exceed $20,000—enough to buy a new car each year. These substantial expenses compel families to skip preventive services and essential medical care. The notion that “some coverage is better than none” falters when cost-sharing deters care and heightens financial risk. More

From the pre- to post-ACA period, Medicaid take-up rates among eligible individuals increased, and these gains persisted during the beginning of the unwinding period, potentially reflecting increased outreach efforts under the Biden administration. However, areas of vulnerability remain among young adults, working adults, AI/AN individuals, and those in rural areas. More

Since the Affordable Care Act (ACA) Medicaid expansion passed in 2010, Medicaid work requirement proponents have sought to convince policymakers that… More

Context: Health insurance reform in the United States has focused on expanding enrollment, a goal inhibited by complex insurance provisions. Research… More

Scorned and denigrated during its first decade, the Affordable Care Act’s health insurance exchanges/marketplaces have blossomed in this decade to… More

The Trump Administration is defending the ACA’s free preventive benefit guarantee before the Supreme Court as part of its effort to exercise whole-of-government control over US policy, says Sara Rosenbaum in this Opinion. More

Addressing persistent and widespread challenges in any large organization necessitates implementation of policies and programs in ways that are… More

Cell and gene therapies (CGTs) offer treatment to rare and oftentimes deadly diseases. Because of their high price and uncertain clinical outcomes, US insurers commonly restrain patient access to CGTs, and these barriers may create or perpetuate existing disparities. A reconsideration of existing insurance policies to improve access and reduce disparities is currently underway. More

Medicaid’s size tells you everything you need to know about its prospects during a second Trump administration, the amount of energy that opponents… More

In the week between November 5 and November 12, at least 20 times I was asked whether President-elect Donald Trump would ever nominate Robert F.… More