Latest KFF Health News Stories
As Insurance Prices Rise, Families Puzzle Over Options
Millions of middle-class Americans who have Affordable Care Act marketplace plans are facing soaring premium payments in 2026. Some people are contemplating big life changes to deal with new rates that kicked in on Jan. 1.
An estimated 4.8 million people are expected to go without health coverage because Congress did not extend enhanced subsidies for Affordable Care Act plans. But even without a health plan, people will need medical care in 2026. Many of them have been thinking through their plan B to maintain their health.
On the Hook for Uninsured Residents, Counties Now Wonder How They’ll Pay
Millions of people gained health coverage under the Affordable Care Act, reducing pressure on counties in states that fund care for the uninsured. With federal policies expected to reverse that trend, county officials wonder how they will fill the gap — and who will pay for it.
Worried About Health Insurance Costs? There May Be Cheaper Options — But With Trade-Offs
As the clock ticks down on the 2026 Obamacare open enrollment season, frustrated consumers may have to make sacrifices on coverage to get a price they can stomach. But cheaper alternatives come with risks.
One Big Beautiful Bill Act Complicates State Health Care Affordability Efforts
The federal budget bill President Donald Trump signed into law in July is creating uncertainty for states trying to rein in health care spending. In California, a lawsuit by the hospital industry challenging state spending caps cites the law, which will slash Medicaid spending, as one of many financial pressures.
Sticker Shock: Obamacare Customers Confront Premium Spikes as Congress Dithers
With subsidies that give consumers extra help paying their health insurance premiums set to expire, lawmakers are again debating the Affordable Care Act. The difference this time: It’s happening in the middle of ACA open enrollment.
Health Care Consolidation and Rising Costs Happen, but Obamacare Is Not the Key Culprit
The debate over expiring Affordable Care Act tax credits has given Republicans room to resurface old criticisms — such as blaming the ACA for mergers and consolidation within the health care industry.
Trump’s Idea for Health Accounts Has Been Tried. Millions of Patients Have Ended Up in Debt.
Republican calls to give Americans cash instead of health insurance subsidies double down on a decades-old strategy of moving people into high-deductible plans with health savings accounts.
Out-of-Pocket Pain From High-Deductible Plans Means Skimping on Care
High-deductible health insurance plans are increasingly common, and many more enrollees will likely need to choose such plans for the coming year. For those with chronic conditions like diabetes, the gamble can mean compromised care and long-term consequences.
Health Savings Accounts, Backed by GOP, Cover Fancy Saunas but Not Insurance Premiums
Health savings accounts can be used to cover medical expenses, tax-free. But while wealthier Americans are using them to pay for gym equipment, cedar ice baths, and hemlock saunas, poorer Americans can’t use them to pay their skyrocketing health insurance premiums.
After Shutdown, Federal Employees Face New Uncertainty: Affording Health Insurance
Average premium payments in the federal government’s insurance program for its employees are set to jump more than 12% next year, on top of a 13.5% hike in 2025. The two-year increase is higher than many private employers and their workers are experiencing.
As Health Companies Get Bigger, So Do the Bills. It’s Unclear if Trump’s Team Will Intervene.
As health systems, doctor groups, and insurers merge into ever-bigger giants, patient care gets more expensive. Yet the Trump administration has sent mixed signals about its willingness to intervene — and shown some disdain for Biden officials’ more aggressive approach.
Shutdown Has Highlighted Washington’s Retreat From Big Ideas on Health Care
As voters feel financial pressure from runaway health care costs and crave innovations that would provide relief, the standoff in Congress has been firmly rooted in the status quo — keeping an existing provision of the Affordable Care Act alive.
Farmers, Barbers, and GOP Lawmakers Grapple With the Fate of ACA Tax Credits
Small-business owners and their employees, who make up nearly half of the Obamacare marketplace, are worried about their health care and their livelihoods as insurance prices surge. Republicans, who have long opposed Obamacare, are at odds over how to respond to upset from one of their party’s most loyal constituencies.
Congressional Stalemate Creates Chaos for Obamacare Shoppers
This year, Affordable Care Act marketplace consumers will need to be more informed than ever to navigate their health coverage choices.
A Ticking Clock: How States Are Preparing for a Last-Minute Obamacare Deal
Even if Congress strikes a deal soon to extend more generous Affordable Care Act subsidies, the prices and types of ACA plans available could change dramatically. Unprecedented uncertainty and upheaval could cloud this year’s open enrollment season, which begins in most states on Saturday.
GOP Talking Point Holds ACA Is Haunted by ‘Phantom’ Enrollees, but the Devil’s in the Data
Enhanced Affordable Care Act marketplace subsidies have emerged as a flash point in the congressional standoff over the federal government shutdown. Republicans point to what they characterize as increasing amounts of fraud as a reason to hold up the subsidies. But there are two sides to the story.
Why Democrats Are Casting the Government Shutdown as a Health Care Showdown
Democrats are pressuring Republicans to extend billions of dollars in federal tax credits that have dramatically lowered premiums and contributed to record-low rates of uninsured Americans. It’s a chance to talk about a winning issue — and maybe regain support from working-class voters.
Team Trump’s Answer to Ballooning Obamacare Premiums: Less Generous Coverage
Tens of millions of people face sticker shock enrolling in Affordable Care Act insurance for 2026. To save money, the Trump administration wants them to consider less generous coverage.
Projected Surge in Uninsured Will Strain Local Health Systems
In South Texas’ Rio Grande Valley, many people go without health insurance, and the health system struggles as a result. Similar communities dot the nation, and more could face such difficulties under President Donald Trump’s tax-and-spending law.
