Enhanced premium tax credits in the Affordable Care Act Marketplace increase insurance coverage and reduce coverage disparities for Black and Hispanic people. These gains will likely be reversed if Congress doesn’t extend the credits beyond 2025.
Medical debt affects millions of Americans and can undermine their health and financial well-being. Policies to expand health insurance and reduce cost sharing for low- and moderate-income households can help alleviate medical debt burdens.
Favorable selection in Medicare Advantage (MA) contributes to excessive payments to MA plans. This brief reviews evidence on selection in MA and how study findings relate to the appropriateness of payments to MA plans.
Nearly one in four adults in mixed-status families and more than one in seven adults in immigrant families with children avoided safety net programs because of green card concerns in 2023.
Marketplace premiums are lower than premiums in employer-sponsored plans, likely because of the substantially higher payment rates and breadth of provider networks in commercial markets than in Marketplaces, Medicare, and Medicaid.