HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services and an even larger share (37%) share of claims for out-of-network services in 2023, a new KFF analysis finds. The analysis examines the main source of publicly available data on claims denials and appeals for individual-market plans available through the…More
HealthCare.gov Insurers Denied Nearly 1 in 5 In-Network Claims in 2023, but Information About Reasons is Limited in Public Data
Related Post
Policy Landscape of Private Insurance Coverage of Contraception in the U.S.
This issue brief explains the rules for private insurance coverage of contraceptives at the federal and state level, the exemptions ...
Health Provisions in the 2025 Federal Budget Reconciliation Law
On July 4, President Trump signed the budget reconciliation bill, previously known as the βOne Big Beautiful Bill Act,β into ...
Average Annual Family Premium per Enrolled Employee For Employer-Based Health Insurance
...
How Many Adults with Private Health Insurance Could Use GLP-1 Drugs
More than two in five (42%) or 57.4 million adults under 65 with private insurance could be eligible under clinical ...
Weβve Never Seen Health Care Cuts This Big
In this July 1 column for The New York Times Opinion section, KFF Executive Vice President for Health Policy Larry ...
How Much do People with Employer Plans Spend Out-of-Pocket on Cost-Sharing?
This Peterson-KFF Health System Tracker chart collection examines trends in employee spending on deductibles, copayments, and coinsurance from 2012 to ...
Calculator: ACA Enhanced Premium Tax Credit
The ACA’s enhanced premium tax credits are set to expire at the end of 2025. This calculator estimates how much ...
Individual Market Insurers Requesting Largest Premium Increases in More Than 5 Years
This analysis of preliminary rate filings submitted by 105 ACA Marketplace insurers in 19 states and DC shows that ACA ...
How Affordability of Employer Coverage Varies by Family Income
This analysis looks at the share of family income people with employer-based coverage pay toward their premiums and out-of-pocket payments ...