Category: uninsured

  • KHN’s ‘What the Health?’: Kansas Makes a Statement

    Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts, or wherever you listen to podcasts. Voters in Kansas told the rest of the country this week that they don’t want their state to ban abortion. In a nearly 60%-40% split, voters turned […]

  • Cómo evitar, o deshacerse, de una deuda médica

    Lori Mangum tenía 32 años cuando aparecieron tumores del tamaño de manzanas en su cabeza. Ahora, seis años y 10 cirugías después, el cáncer de piel desapareció. Pero su dolor sigue vivo, en la forma de una deuda médica. Incluso con seguro, Mangum pagó $36,000 de su bolsillo, cargos que surgieron del hospital, el cirujano, […]

  • How to Get Rid of Medical Debt — Or Avoid It in the First Place

    Lori Mangum was 32 when apple-size tumors sprouted on her head. Now — six years and 10 surgeries later — the skin cancer is gone. But her pain lives on, in the form of medical debt. Even with insurance, Mangum paid $36,000 out-of-pocket, charges that stemmed from the hospital, the surgeon, the anesthesiologist, the pharmacy, […]

  • GV, other investors pour $27M into the ‘Expedia for medical care’

    Online healthcare marketplace Sesame closed a $27 million Series B funding round on Tuesday, bringing its total funding to $75 million. David Goldhill, CEO of the New York City-based startup, said the company is “an Expedia for medical care” because patients can buy the care they want directly online, without the middleman of an insurance […]

  • Miles de niños tienen problemas de vista que no se detectan a tiempo

    Jessica Oberoi, de 13 años, no puede recordar exactamente cuándo su vista comenzó a ser borrosa. Todo lo que sabe es que tenía que entrecerrar los ojos para ver el pizzarón en la escuela. No fue sino hasta el otoño pasado, cuando su clase de octavo grado en Bloomington, Indiana, se sometió a exámenes de […]

  • Children’s Vision Problems Often Go Undetected, Despite Calls for Regular Screening

    Jessica Oberoi, 13, can’t exactly remember when her eyesight started getting blurry. All she knows is that she had to squint to see the whiteboard at school. It wasn’t until last fall when her eighth grade class in Bloomington, Indiana, got vision screenings that Jessica’s extreme nearsightedness and amblyopia, or lazy eye, were discovered. She’s […]

  • California Wants to Slash Insulin Prices by Becoming a Drugmaker. Can it Succeed?

    SACRAMENTO — California is diving into the prescription drug business, attempting to achieve what no other state has done: produce its own brand of generic insulin and sell it at below-market prices to people with diabetes like Sabrina Caudillo. Caudillo said she feels like a “prisoner” to the three major pharmaceutical companies that control the […]

  • Immigration Bureaucracy Threatens 11-Year-Old’s Spot on Transplant Lists

    Nicolas Espinosa’s hopes for his 11-year-old daughter, Julia, are basic and profound: He wants her to stay alive and perhaps be able to eat normally someday. And she might, if she can get three organs transplanted — and if the U.S. immigration system doesn’t get in the way. In a case that reflects the significant […]

  • Attendance Plummets at LA Covid Vaccination Events

    LOS ANGELES — Nurse Angel Ho-king sways her head to the sound of salsa music as she waits for people willing to roll up their sleeves to get a shot. Ho-king is part of a four-person crew staffing a covid-19 vaccine table at a health fair in Rampart Village, a predominantly immigrant neighborhood about 10 […]

  • Many Uninsured People Could Lose Access to Free COVID-19 Testing, Treatment, and Vaccines as Federal Funding Runs Out

    With an impasse in Congress over additional COVID-19 emergency funding, uninsured people could lose access to free testing and treatment services, a new KFF brief explains. For people without health insurance, the Health Resources and Services Administration (HRSA) COVID-19 Uninsured Program has reimbursed hospitals, doctors and other providers for the COVID-19 care and services that…More

  • Missouri Takes Months to Process Medicaid Applications — Longer Than Law Allows

    Aneka French applied for Medicaid in October, not long after Missouri became the 38th state to expand eligibility for the program. But her application sat for months in a backlog with tens of thousands of others. While she waited, French, 45, an uninsured medical technician from St. Louis, paid out-of-pocket when she was treated at […]

  • Why Millions on Medicaid Are at Risk of Losing Coverage in the Months Ahead

    The Biden administration and state officials are bracing for a great unwinding: millions of people losing their Medicaid benefits when the pandemic health emergency ends. Some might sign up for different insurance. Many others are bound to get lost in the transition. State Medicaid agencies for months have been preparing for the end of a […]

  • Federal Investigation Into Spine Surgeries Uses Mob Laws to Target Health Care Fraud

    A Texas consulting company that arranges spine surgery and other medical care for people injured in car crashes has come under scrutiny in a widening federal bribery investigation. Meg Health Care, run by Dallas personal injury attorney Manuel Green and his wife, Melissa Green, is the focus of a search warrant recently unsealed by a […]

  • How Could the Build Back Better Act Affect Uninsured Children?

    This brief examines characteristics of uninsured children in 2020 and discusses how current policy proposals, including outreach efforts, continuous eligibility requirements, and closing the coverage gap, could affect children’s health coverage. Recent efforts to expand coverage for adults could benefit children’s coverage, especially for children in non-expansion states if the coverage gap is filled as […]

  • New Health Plans Offer Twists on Existing Options, With a Dose of ‘Buyer Beware’

    Trendy-looking websites promise convenience and freedom from networks, at far less than the cost of traditional health insurance. “Welcome to insurance that’s finally fair,” says one, in bold lettering. “Take care of your health with one easy app,” says another. It’s all part of shopping for health coverage in 2021. While they’re still niche products, […]

  • Direct Primary Care, With a Touch of Robin Hood

    MODESTO, Calif. — Britta Foster and Minerva Tiznado are in different leagues as far as health care is concerned. Foster, who married into the family that owns the $2.5 billion Foster Farms chicken company, has Blue Shield coverage as well as a high-octane primary care plan that gives her 24/7 digital access to her doctor […]

  • Death in Dallas: One Family’s Experience in the Medicaid Gap

    For years, Millicent McKinnon of Dallas went without health insurance. She was one of roughly 1 million Texans who earn too much to qualify for Medicaid in the state but too little to buy their own insurance. That is, until she died in 2019. She was 64 and had been unable to find consistent care […]

  • How ERs Fail Patients With Addiction: One Patient’s Tragic Death

    Jameson Rybak tried to quit using opioids nearly a dozen times within five years. Each time, he’d wait out the vomiting, sweating and chills from withdrawal in his bedroom. It was difficult to watch, said his mother, Suzanne Rybak, but she admired his persistence. On March 11, 2020, though, Suzanne grew worried. Jameson, 30 at […]

  • Filling the Coverage Gap: Policy Options and Considerations

    This issue brief examines some of the other options policymakers may consider to extend coverage to people in the gap, including increased fiscal incentives for states, a narrower public option, and making people with incomes below the poverty level eligible for enhanced ACA premium subsidies.

  • Sources of Payment for Uncompensated Care for the Uninsured

    This brief estimates the level of public funding that was paid to help offset providers’ uncompensated care costs for the uninsured in 2017. To conduct the analysis, we rely on several secondary data sources including government budget appropriations and expenditure data for major public programs that provided funds to cover the cost of care for […]

  • Lots of Health Insurance Help in Covid Relief Law — But Do Your Homework First

    There’s something for everyone with private health insurance in the American Rescue Plan Act, but determining the best way to benefit may be confusing. This story also ran on NBC News. It can be republished for free. The $1.9 trillion covid relief law that President Joe Biden signed this month will make coverage significantly more […]

  • Two New Analyses: House COVID-19 Relief Plan Would Temporarily Lower Marketplace Premiums for Millions and More than Offset Short-Term State Costs to Expand Their Medicaid Programs

    The House COVID-19 relief proposal would temporarily lower what millions of Marketplace enrollees and uninsured potential enrollees would pay toward premiums and would provide states that have not expanded their Medicaid programs a financial boost that would more than offset their costs initially, two new KFF analyses find. The analyses assess two parts of the…More

  • Why Biden Has a Chance to Cut Deals With Red State Holdouts on Medicaid

    President Joe Biden has an unexpected opening to cut deals with red states to expand Medicaid, raising the prospect that the new administration could extend health protections to millions of uninsured Americans and reach a goal that has eluded Democrats for a decade. The opportunity emerges as the covid-19 pandemic saps state budgets and strains […]

  • Los mercados de seguros de salud reabrieron. Esto es lo que necesitas saber

    Para quienes han estado sin seguro médico durante la pandemia, el alivio ya está a la vista. En enero, el presidente Joe Biden firmó una orden ejecutiva para abrir el mercado federal de seguros de salud durante tres meses, desde el lunes 15, para que las personas sin seguro puedan comprar un plan y o […]

  • The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid

    In states that do not implement the Medicaid expansion under the Affordable Care Act (ACA), many adults will fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits. Nationwide, 2.2 million poor uninsured adults are in this situation. This brief presents estimates […]

  • The Language of Health Care Reform

    Published in the Jan. 19 edition of JAMA, this article from KFF Executive Vice President for Health Policy Larry Levitt lays out the major health policy challenges that will confront President-elect Biden and potential approaches to major reform. While a big reform debate may not be likely this year, one is likely coming as the…More

  • Women’s Health Insurance Coverage

    This factsheet reviews major sources of coverage for women residing in the U.S. in 2019, discusses the impact of the ACA on women’s coverage, and the coverage challenges that many women continue to face

  • Illinois, primer estado en ofrecer cobertura médica a adultos mayores indocumentados

    Como jefa de enfermería en uno de los hospitales más concurridos de la red de seguridad de atención médica de Chicago, Raquel Prendkowski ha sido testigo del devastador número de víctimas que COVID-19 ha causado entre los residentes más vulnerables de la ciudad, incluyendo a personas que no tienen seguro médico por su estatus migratorio. […]

  • Illinois Is First in the Nation to Extend Health Coverage to Undocumented Seniors

    As a nurse manager for one of Chicago’s busiest safety-net hospitals, Raquel Prendkowski has witnessed covid-19’s devastating toll on many of the city’s most vulnerable residents — including people who lack health insurance because of their immigration status. Some come in so sick they go right to intensive care. Some don’t survive. “We’re in a […]

  • Community Health Centers’ Role in Delivering Care to the Nation’s Underserved Populations During the Coronavirus Pandemic

    In the midst of the coronavirus pandemic, community health centers are serving as public health responders, especially for medically underserved populations. Health centers are a national network of safety net primary care providers who provided care to nearly 30 million patients in 2019, and disproportionately serve patients who are low-income, persons of color, uninsured, or […]

  • How Has the Pandemic Affected Health Coverage in the U.S.?

    Findings from administrative data suggest that the decline in enrollment among employer-sponsored insurance was far less than overall declines in employment as of September, and that many who did lose their job-based coverage likely found a safety net in coverage through Medicaid or the ACA marketplaces.

  • ACA could help millions of uninsured gain free coverage

    Millions of Americans without healthcare insurance could be eligible to get coverage for free, or nearly free, through financial assistance offered under the Affordable Care Act. But many who recently lost their employer-based coverage may not be aware of the options available to them.

  • Hispanic People are Facing Widening Gaps in Health Coverage

    New analysis shows that, in 2019, the number of uninsured continued to increase for the third year in a row. Much of the coverage loss between 2018 and 2019 was among Hispanic people, and these data point to significant increased barriers to health care for Hispanic people.

  • Key Facts about the Uninsured Population

    This issue brief describes trends in health coverage prior to the pandemic, examines the characteristics of the uninsured population in 2019, and summarizes the access and financial implications of not having coverage.

  • Explaining Health Care Reform: Questions About Health Insurance Subsidies

    This brief describes health insurance subsidies available through the Affordable Care Act’s marketplaces, including premium subsidies that would be provided in the form of tax credits, as well as other subsidies that would lower cost sharing to eligible Americans. It provides details on who is eligible for the assistance, the maximum repayment limits for the […]

  • Hospital Bills for Uninsured COVID Patients Are Covered, but No One Tells Them

    When Darius Settles died from COVID-19 on the Fourth of July, his family and the city of Nashville, Tennessee, were shocked. Even the mayor noted the passing of a 30-year-old without any underlying conditions — one of the city’s youngest fatalities at that point. Settles was also uninsured and had just been sent home from […]

  • Even With ACA’s Fate in Flux, Open Enrollment Starts Soon. Here’s What’s New.

    Facing a pandemic, record unemployment and unknown future costs for COVID-19 treatments, health insurers selling Affordable Care Act plans to individuals reacted by lowering rates in some areas and, overall, issuing only modest premium increases for 2021. “What’s been fascinating is that carriers in general are not projecting much impact from the pandemic for their […]

  • Report: 21M people could lose insurance if ACA is overturned

    With a new nominee as the Supreme Court prepares to hear a case that could determine the future of the Affordable Care Act, the health law’s future has been thrown into question. According to the Robert Wood Johnson Foundation, the number of uninsured could increase by 70% if the ACA is overturned.

  • A Reconfigured U.S. Supreme Court: Implications for Health Policy

    U.S. Supreme Court decisions shape health policy in important ways. The nomination of Judge Amy Coney Barrett, if confirmed, is expected to establish a solid 6:3 conservative majority that could affect case outcomes in several areas. This issue brief considers the potential implications of a reconfigured Court for health policy issues, including those already on […]

  • Refuge in the Storm? ACA’s Role as Safety Net Is Tested by COVID Recession

    The Affordable Care Act, facing its first test during a deep recession, is providing a refuge for some — but by no means all — people who have lost health coverage as the economy has been battered by the coronavirus pandemic. New studies, from both federal and private research groups, generally indicate that when the […]

  • Health Care and the 2020 Presidential Election

    This side-by-side comparison examines President Trump’s record and former Vice President Biden’s positions across a wide range of key health issues, including the response to the pandemic, the Affordable Care Act marketplace, Medicaid, Medicare, drug prices, reproductive health, mental health and opioids, immigration and health coverage, and health care costs.

  • Trump’s COVID Program for Uninsured People: It Exists, but Falls Short

    In a wide-ranging executive order, President Donald Trump this month outlined some of the efforts he has made to affect health care since taking office. One involved uninsured people and the current pandemic. The administration, Trump said, set up a program to provide them “access to necessary COVID-19-related testing and treatment.” Did it? We asked […]

  • KHN’s ‘What the Health?’ Replay: What’s at Stake When High Court Hears ACA Case

    Can’t see the audio player? Click here to listen on SoundCloud. The “What the Health?” panelists are taking a break for two weeks. But since the Supreme Court recently scheduled arguments in the case challenging the constitutionality of the Affordable Care Act, it seemed like a good opportunity to replay an episode from March, when the […]

  • ‘Pennie’-Pinching States Take Over Obamacare Exchanges From Feds

    Pennsylvania is rolling out its new “Pennie” this fall: a state-run insurance exchange that officials say will save residents collectively millions of dollars on next year’s health plan premiums. Since the Affordable Care Act’s marketplaces opened for enrollment in fall 2013, Pennsylvania, like most states, has used the federal website for people buying coverage […]

  • In Texas, More People Are Losing Their Health Insurance as COVID Cases Climb

    Steve Alvarez started feeling sick around Father’s Day weekend this year. His symptoms started as mild, but developed into a fever, chills and shortness of breath he couldn’t shake. “Just when I started to get to feeling better and I would have a couple of good days,” Alvarez said. “I felt like I’d backtrack and […]

  • Administration Eases Rules to Give Laid-Off Workers More Time to Sign Up for COBRA

    People who’ve been laid off or furloughed from their jobs now have significantly more time to decide whether to hang on to their employer-sponsored health insurance, according to a recent federal rule. Under the federal law known as COBRA, people who lose their job-based coverage because of a layoff or a reduction in their hours […]