Really excited to share our latest survey of immigrants work @kff.org. We're able to see how immigrants are faring now amid increased immigration enforcement compared to 2023. Check out our KFF reports below and stories from @nytimes.com

Our brand new survey of immigrants in partnership with @nytimes.com explores immigrants views and experiences under the second Trump administration. It finds increased fear, health and economic challenges amid immigration enforcement, but a remarkable resilience as well www.kff.org/kff-nytimes-...

New survey from @kff.org and @nytimes.com reveals deepening anxiety and fear among immigrants of all statuses amid the Trump administration’s intensified immigration enforcement and restrictive policies www.kff.org/kff-nytimes-...

Leaving aside the issue that people buying insurance would buy it from insurance companies. This sounds like an effort to let people bypass the ACA. Healthy people could buy cheaper insurance that doesn't cover pre-existing conditions, sending the ACA into a premium death spiral.

contrarian.substack.com/p/sticker-sh... always informative!!

Please remind those in the back that ACA is “Obamacare”

The ACA did 3 big things in the insurance market: 1. Guaranteed access irrespective of pre-existing conditions. 2. Required benefits like maternity and mental health, and prohibited lifetime and annual limits. 3. Provided tax credits to help people afford insurance.

With the government reopening with only “promises” in place to protect affordable healthcare, millions of Americans are still at risk of losing coverage. @larrylevitt.bsky.social explains just how bad things could get. https://contrarian.substack.com/p/sticker-shock-larry-levitt-on-the

As President Trump and Republicans in Congress promise further details of their health care proposals, remember that all health reform plans have trade-offs. As details get filled in, the winners and losers become clearer.

A bipartisan deal on ACA premium tax credits is far from certain. If it happens, it will mean threading a very thin needle. @citizencohn.bsky.social www.thebulwark.com/p/here-is-ho...

Well-meaning negotiators on both sides of the aisle could likely agree to tweaks to ACA premium tax credits. But, trying to upend the structure during open enrollment with out-of-pocket premiums poised to more than double is like trying to retrofit a plane mid flight.

KFF's estimate that out-of-pocket ACA premiums will increase if enhanced tax credits expire by an average of 114% has been widely reported. But, it varies a lot, especially by income. Here's what increases look like in dollar terms -- from $378 at $18,000 to $1,836 at $45,000.

A flexible spending account that replaces enhanced ACA premium tax credits would help people with their out-of-pocket health care costs. But, that help would be limited if they couldn't afford to buy insurance to begin with without the enhanced tax credits.

77% of ACA enrollees live in states won by President Trump in 2024, and 56% of enrollees are in Congressional districts represented by Republicans. Yet, no Republicans voted for the original ACA in 2010 or the enhanced premium tax credits in 2021. The ACA is still very partisan.

If enhanced ACA tax credits are not extended, out-of-pocket premiums will increase an average of 114% next year. Who will get blamed? Republicans, who do not support an extension. Democrats. Insurers. The ACA itself.

You have to read between the lines here to imagine what President Trump is proposing. But, it sounds like it may be a plan for health accounts that could be used for insurance that doesn’t cover pre-existing conditions, which could create a death spiral in ACA plans that do.

Insurance companies profit from ACA premium tax credits because they lower the out-of-pocket premiums for millions of people who would otherwise be uninsured. The tax credits subsidize people, not insurers.

KFF’s @larrylevitt.bsky.social explains the details around the ACA enhanced premium tax credits set to expire at the end of the year. “There would be some ripple effects in the rest of the economy, the rest of the healthcare system,” he says on @economist.com’s “Checks and Balance” podcast.

Medicare and Medicaid coverage of GLP-1s for obesity, and price reductions for cash paying patients, are significant developments. But, deals like this without regulation to back them up may not be lasting.

Thank you for clarifying this, Larry - 30% versus 114% increase is a huge difference that people need to know about.

Something I think gets lost in the debate over ACA enhanced premium tax credits: 65% of ACA marketplace enrollees have incomes under 200% of the poverty level ($31,300 for a single person). These are folks who make too much for Medicaid but don't have access to employer coverage.

We are KFF. Just K-F-F. We do policy research, polling, and journalism. Different things, but all with the aim of informing health policy debates. @drewaltman.bsky.social www.kff.org/from-drew-al...

There’s a lot of talk about lowering premiums. Ways to do that: 1. Subsidize premiums for people who can’t afford them. 2. Reduce health care costs. 3. Limit benefits or increase cost-sharing. 4. Allow healthy people to buy cheaper insurance, increasing costs for sick people.

I see criticism of the ACA from the right and left that it funnels money to insurers. It does increase coverage, and that benefits insurers, and hospitals. But it's not unique to the ACA. It's also true of Medicare, Medicaid, and employer coverage. It's how our system works.

If hubs and I want to keep our current coverage, it'll be $800 more a month. The cheapest plan in the same "tier" is LESS coverage and will STILL be $300 more a month.

ACA open enrollment has begun, which means people are starting to make decisions about their coverage based on out-of-pocket premiums that are double on average what they would be if enhanced tax credits were extended.

November 1: All Saints' Day, Day of the Dead, and the start of ACA open enrollment, when people start realizing that their out-of-pocket premiums are increasing an average of 114% due to expiration of enhanced tax credits.

A lot of people are curious why insurers are increasing benchmark ACA premiums by an average of 26%. The publicly-available rate justifications from insurance companies typically look something like this. So, it's kind of hard to tell for sure.

Out-of-pocket premiums for subsidized ACA enrollees will jump by an average of about 114% if enhanced tax credits are not extended. But, it varies a lot from person to person. Our calculator illustrates the change by income, age, family size, and zip code. www.kff.org/interactive/...

I can't imagine a better use of @axios.com writing style than this "yes, but" from @maya-goldman.bsky.social about the 114% average out-of-pocket premium increase that ACA enrollees will face if enhanced tax credits expire. www.axios.com/2025/10/30/a...

There are two different KFF numbers about the ACA out there. Both are accurate, but mean different things. 114%: The average increase in out-of-pocket premiums if enhanced tax credits expire. 26%: The average increase in what insurers are charging for benchmark ACA plans.

We estimate the average ACA enrollee will see their out-of-pocket premium increase by 114%. But, it will vary a lot based on age, income, family size, and zip code. I'd be interested in what you're seeing if you're an ACA enrollee and log on to the marketplace. Please reply here.

New: As open enrollment is about to begin, we estimate ACA insurers are raising premiums by an average of 26%. But if enhanced tax credits expire, 22 million enrollees will see their payments increase by way more than that, more than doubling. www.kff.org/quick-take/a...

*taps 2017 sign*

Sen. Mike Rounds a little bit ago: "the Obamacare product itself is fatally flawed. It continues to create a death spiral coming down with regard to the increasing costs. There are people out there, real people, that are going to get hurt because Obamacare is not working."

It's one thing to criticize Obamacare, as Republicans are now doing. It's another thing to come up with a replacement doesn't raise health care costs for many people. That's what sunk repeal and replace in 2017.

There’s a lot of confusion about how much ACA premiums are going up and what it means. That will likely continue this week as window shopping is expected to begin in the federal ACA marketplace. I’ll try to clear things up.

One possible scenario: Republicans do not go along with extending ACA premiums tax credits. Out-of-pocket premiums more than double next year. Democrats campaign on Republicans increasing health care costs. Republicans argue Obamacare is failing and needs to be reformed.

As the federal ACA marketplace opens for window shopping next week, there will be a lot of focus on insurer premiums and how much they're going up. What most consumer will pay will actually go up much more, unless enhanced premium tax credits are extended.

As debate goes on about the future of ACA premium tax credits, I wonder how many people realize that the federal government spent $384 billion last year providing a tax subsidy for employer-provided health benefits, with higher income people getting bigger subsidies.

There's been a lot of focus on our estimate that ACA enrollees will see their out-of-pocket premiums increase by 114% if enhanced tax credits expire. That may be a hard number to grasp. Another way of looking at it: What enrollees pay will go up by $1,016 on average. www.kff.org/affordable-c...

KFF's latest employer survey is out. The average cost of a family health insurance policy has climbed to $26,993. Health insurance is wildly expensive because health care in the U.S. is expensive. www.kff.org/affordable-c...

🎙️ON AIR: We're talking to @kff.org's @larrylevitt.bsky.social and @coveredca.bsky.social's Jessica Altman about what steep health insurance price hikes could mean for Californians. ❓Do you support an extension of subsidies that would make ACA affordable to more people? Why or why not? 📻 Listen:

Very important insight. Note also that it isn't just healthier people that drop out - it's people who don't expect to need health care (which includes a lot of people who actually do -- or will). That's why the health consequences of disenrollment are potentially high.

When is the point of no return for extending ACA tax credits? They expire 12/31, so that’s a drop dead date. Open enrollment starts November 1. If they’re not extended by then, enrollees may start dropping out. Even if open enrollment is extended, people could be hard to reach.

The ACA did lead to increased individual health insurance premiums in 2014. That was because insurance before that generally didn’t cover pre-existing conditions or benefits like maternity care, and it had lifetime and annual limits on how much it would pay.

This is true. For the ~2 million or so who DON'T currently receive tax credits (plus another 1-2 million or so off-exchange), the weighted average rate increase will "only" be around 24% on average. acasignups.net/rate_changes...

A small clarification to some of the talking points out there using KFF data. Premiums won’t increase by 114% for 24 million people if ACA enhanced premium tax credits are allowed to expire. Premiums would more than double ONLY for the 22 million enrollees with tax credits.

An official White House press release announces that an AstaZeneca inhaler will become available at a price discount of 654%. www.whitehouse.gov/fact-sheets/...

Fundamentally the same dynamic as the ESI tax exclusion, which is famously politically untouchable — and which, as a tax expenditure, "costs" taxpayers about 10x the amount that extending enhanced subsidies is projected to cost