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California Health Insurers: Two Years After Reform

April 28, 2017

California Health Insurers: Two Years After Reform provides a snapshot of the insurance market in California at the end of 2015. Dramatic expansion of coverage under the Affordable Care Act (ACA) in 2014 and 2015 brought more enrollment and premium dollars to California's insurers. Data from the Department of Managed Health Care (DMHC), the California Department of Insurance (CDI), and other sources were used to examine market share, enrollment, financial performance, and consumer satisfaction.

Health Care Costs 101: ACA Spurs Modest Growth

May 4, 2016

After five years of slow growth, national health spending grew by 5.3% in 2014, up from 2.9% in 2013. The faster growth was due in part to coverage expansion under the Affordable Care Act (ACA) and increased spending on prescription drugs. US health spending reached $3.0 trillion in 2014, or $9,523 per capita, and accounted for 17.5% of gross domestic product (GDP).Health Care Costs 101: ACA Spurs Modest Growth, which relies on the most recent data available, details how much is spent on health care in the US, which services are purchased, and who pays.Key findings include:Federal subsidies for ACA Marketplace premiums and cost sharing totaled $18.5 billion, accounting for 12% of the $151 billion in new health spending in 2014.Federal spending on Medicaid increased 18.4% (compared to 0.9% for states), as the federal government fully funded the ACA's expansion of Medicaid eligibility in participating states.Spending on prescription drugs increased by $32.4 billion, or 12.2%, much faster than recent years. New hepatitis C drugs accounted for $11.3 billion, more than one-third of the increase in all prescription drug spending.Household spending on direct purchase insurance rose only 2.2% (more slowly than overall spending at 5.3% and similar to overall household spending at 2.0%) despite a 19.5% increase in enrollment levels for direct purchase insurance.The growth rate in per capita spending more than doubled from 2.1% in 2013 to 4.5% in 2014.

California's Individual and Small Group Markets on the Eve of Reform

April 12, 2011

Examines baseline demographics and characteristics of California's individual and small group markets as well as of those who will become eligible for subsidies under the 2010 healthcare reform, including the uninsured.

Health Care Costs 101

April 29, 2010

Examines trends in 2008 U.S. healthcare spending as a share of GDP and the federal budget; spending per capita; distribution by type of service, contributor, and payment source; and annual growth rates. Includes international comparisons.

California Health Care Almanac: California Health Plans and Insurers

January 27, 2009

Provides an overview of the state's health plans and insurers, including trends in market share, enrollment, financial performance, patient satisfaction, and use of pay-for-performance incentives. Compares health management plans and traditional insurers.

Benefits in the Balance: The Uncertain Future of Public Health Retiree Coverage

January 1, 2006

Assesses current and forecasted retiree healthcare spending by county, city, school district, and government type, and includes data on the characteristics of public-sector retirees and the benefits they receive.

Health Insurance: Can Californians Afford It? 2005

May 1, 2005

Compares health insurance premiums and out-of-pocket expenses to hourly wages and household spending across California to highlight the significant financial pressure healthcare costs are putting on insured Californians.