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Category: Private Insurance
Early in the Pandemic, Private Insurers Paid Similarly for Common Telehealth and In-Person Claims
This analysis of 2020 claims data finds that as telehealth use surged as the COVID-19 pandemic hit, the shift toward virtual physician and mental health care did not materially affect how much insurers paid for each patient encounter.
Centene, Under Siege in America, Moved Into Britain’s National Health Service
A nine-minute public hearing gave the U.S. insurance giant a foothold in Britain’s prized National Health Service. One doctor called it “privatization of NHS by stealth.” And critics worry that business efficiencies will degrade the quality of care.
How ACA Marketplace Premiums Are Changing by County in 2023
This analysis details how ACA marketplace premiums are changing from 2022 to 2023, and the impact of subsidies to make them more affordable. Premiums vary based on location and metal level, and t T analysis details how premiums are changing from 2022 t…
Emergency Department Visits Exceed Affordability Threshold for many consumers with private insurance
This analysis uses 2019 insurance claims data from large employer health plans to assess the total and out-of-pocket costs of emergency department visits, overall and by diagnosis and severity level. It also looks at which services contribute most to t…
Cost of COVID-19 Hospital Admissions among People with Private Health Coverage
This analysis examines the cost of COVID-19 treatment for inpatient care among people with health coverage through large employers. It finds that in 2020, COVID-19 hospitalizations cost an average of $41,611, including an average out-of-pocket payment …
Nine Changes to Watch in Open Enrollment 2023
The 2023 Affordable Care Act (ACA) Open Enrollment period will run from November 1, 2022 to January 15, 2023 in most states, longer in some state-based marketplaces. This policy watch examines nine changes that may affect what enrollees pay for coverag…
Nine Changes to Watch in ACA Open Enrollment 2023
The 2023 Affordable Care Act (ACA) Open Enrollment period will run from November 1, 2022 to January 15, 2023 in most states, longer in some state-based marketplaces. This policy watch examines nine changes that may affect what enrollees pay for coverag…
Explaining Health Care Reform: Questions About Health Insurance Subsidies
This brief provides an overview of the financial assistance provided under the ACA for people purchasing coverage on their own through health insurance Marketplaces (also called exchanges).
2022 Employer Health Benefits Chart Pack
This slideshow captures key data from the 2022 KFF Employer Health Benefits Survey survey, providing a detailed look at trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing provisions, offer rates, well…
