Private insurance – XINETICA

Are Health Insurance Companies the Reason for Our Health System’s Ills?

Thu, 23 Apr 2026 15:02:54 +0000

In this JAMA Health Forum column, KFF’s Larry Levitt examines the criticism that health insurance companies are facing from political leaders, and explores the industry’s role in both causing and addressing some of the health systems’ biggest problems, including rising costs and prior authorization review.

How Employers Support Lower-Waged Workers’ Access to Health Insurance Options

Mon, 20 Apr 2026 16:42:11 +0000

This analysis examines the costs, availability, and take-up of health benefits for workers with lower wages, using survey data and focus groups with more than 100 U.S. employers with over a quarter of a million employees.

What Are the Recent Trends in Employer-Based Health Coverage?

Fri, 17 Apr 2026 16:58:12 +0000

Employer-sponsored health insurance is the largest source of health coverage for people under 65, covering 165.6 million people in March 2025. This analysis examines who among people under 65 have employer coverage and which workers are offered and eligible for coverage at their jobs, using the Annual Economic and Social (March) Supplements of the Current Population Survey.

Claims Denials and Appeals in ACA Marketplace Plans in 2024

Tue, 24 Mar 2026 15:34:16 +0000

This brief analyzes federal transparency data published by CMS on claims denials and appeals for Marketplace plan offered on HealthCare.gov in 2024, and finds insurers denied 19% of in-network claims. Consumers rarely appeal denied claims.

Quiz – How Well Do You Understand Your Health Insurance – Frameless

Wed, 18 Mar 2026 12:29:35 +0000

Health insurance is often complicated, but understanding the basics helps you make better decisions about your coverage and care. This 10-question quiz touches on some terms you may encounter.

Are the Tradeoffs from Prior Authorization Worth It?

Mon, 16 Mar 2026 16:39:58 +0000

In his latest column, President and CEO Dr. Drew Altman asks if prior authorization review could be eliminated entirely, discussing how it might be done and the tradeoffs.

How Does Cost Affect Access to Health Care?

Tue, 10 Mar 2026 22:00:00 +0000

This analysis explores trends in how the cost of healthcare affects access to care in the U.S. using National Health Interview Survey (NHIS) data. In 2024, about 1 in 6 adults (17%) reported delaying or not getting healthcare due to cost

Over-the-Counter Oral Contraceptive Pills

Tue, 10 Mar 2026 04:30:00 +0000

Oral contraceptives are the most commonly used method of reversible contraception in the U.S. In July 2023, the FDA approved Opill, the first daily oral contraceptive pill to become available over the counter (OTC) without a doctor’s prescription. This issue brief provides an overview of OTC oral contraceptives and laws and policies related to insurance coverage.

Medicaid Workers and Job-Based Insurance: Who Is Offered, Eligible, and Enrolled?

Thu, 05 Mar 2026 20:09:18 +0000

Most adult Medicaid enrollees who will be subject to new work requirements are already working but rely on Medicaid because their employers do not offer health coverage or they are not eligible for the coverage offered at their job. This analysis examines the availability of job-based insurance in 2024 for adult Medicaid workers ages 19 to 64.

Constrained Budgets Lead States to Restrict HIV Drug Access Through Ryan White

Mon, 02 Mar 2026 14:45:00 +0000

States are facing constrained budgets, putting pressure on HIV programs, including the Ryan White HIV/AIDS Program. This Policy Watch explores how state Ryan White AIDS Drug Assistance Programs (ADAPs) are responding to these budget pressures, including by restricting eligibility and reducing the scope of services offered, actions that could led to negative health outcomes for people with HIV and lead to new HIV infections.