Affordable Care Act

The big picture

The Supreme Court could be Trump's ACA nightmare

The lawsuit could come to a head just before Election Day.

Mar 3, 2020 - Health
The ACA is doing fine without a mandate penalty

The success undercuts a lawsuit against the ACA.

Jan 14, 2020 - Health
The political risk of overturning the ACA

Swing states and red states would stand to lose the most.

Dec 20, 2019 - Health
Trump's all-or-nothing ACA gamble

We've seen this movie before — in 2012, at the Supreme Court.

Mar 27, 2019 - Health

All Affordable Care Act stories

Enrollment surge may help Democrats' push for ACA changes

Illustration: Lazaro Gamio/Axios

Democrats’ big investments in the Affordable Care Act appear to be paying off.

Driving the news: Almost 1 million Americans have signed up for ACA coverage since February, roughly half of them in April alone, the Centers for Medicare & Medicaid Services said yesterday.

Biden administration announces 940,000 ACA sign-ups so far this year

Secretary of Health and Human Services Xavier Becerra. Photo: Drew Angerer/Getty Images

About 940,000 people have signed up for health insurance through the Affordable Care Act since February, the Biden administration announced Thursday.

The big picture: There was a surge in sign-ups of about 470,000 people in the month of April alone. New subsidies and stimulus began April 1.

Dave Lawler, author of World
May 5, 2021 - World

U.S. could fill "vaccine diplomacy" void as other powers struggle

Illustration: Rae Cook/Axios

The U.S. is the last major power to enter the race for global vaccine diplomacy, but still has the opportunity to win it.

Why it matters: China, Russia and other world powers began shipping vaccines all over the world months before the U.S. But they've all run into serious obstacles that leave the U.S. with an opening to become the biggest piece in the global vaccination puzzle.

Apr 22, 2021 - Health

Rep. Sewell: Pandemic "laid bare" disinvestment in closing inequities

Rep. Terri Sewell (D-Ala.) said at a virtual Axios event Thursday the pandemic has "exacerbated" health disparities and revealed "our systemic disinvestment" in addressing them.

Why it matters: In the U.S., people of color are more likely to be diagnosed with the coronavirus, suffer serious illness, become hospitalized because of COVID and die from it. They are also are more likely to be without health insurance.

Caitlin Owens, author of Vitals
Apr 21, 2021 - Health

Most uninsured Americans are already eligible for coverage

Expand chart
Data: KFF; Map: Danielle Alberti/Axios

Most uninsured Americans are already eligible for Medicaid or subsidized Affordable Care Act coverage.

Why it matters: One path to universal health coverage would involve signing millions of Americans up for insurance that's already available to them, and some states are pursuing that goal.

Caitlin Owens, author of Vitals
Apr 13, 2021 - Health

Democrats, led by Biden, are aiming big on health care

Illustration: Aïda Amer/Axios

Democrats are exploring adding a huge array of health policies to upcoming spending legislation, ranging from further enhancing Affordable Care Act subsidies to allowing Medicare to negotiate prescription drug prices.

Why it matters: The next few months may give Democrats the opportunity to walk the walk after campaigning extensively on health care for years, and to plug some of the glaring holes in the system that were exposed by the pandemic.

Mar 23, 2021 - Health

Biden extends enrollment period for Affordable Care Act until August 15

President Biden speaks at the White House. Photo: Mandel Ngan/AFP via Getty Images

The special enrollment period for Americans to sign up for Affordable Care Act health plans will continue through Aug. 15, the Biden administration announced Tuesday.

The big picture: The administration already extended the enrollment period earlier this year after millions of people lost their health insurance coverage during the pandemic.

Mar 12, 2021 - Axios Denver

How Denverites found joy during the pandemic

Illustration: Brendan Lynch/Axios

The pandemic year came with anxiety, fear, isolation, sadness and frustration. But we are close to making it to the other side.

  • In the second installment of our COVID reflections project, we wanted to know how you survived — what brought you light and joy during a dark and difficult year.

What we learned: Your answers were filled with love, resilience and ingenuity.

Study: Only the biggest ACA subsidies improved financial health

Illustration: Lazaro Gamio/Axios

Only the biggest subsidies through the Affordable Care Act improved families' overall financial well-being, according to a study published Monday in Health Affairs.

The big picture: Low-income families eligible for both premium subsidies and cost-sharing subsidies spent 17% less on out-of-pocket health care costs than unsubsidized enrollees. But the financial burden of health care costs didn't alleviate at all for middle-income families eligible only for premium subsdies.

CMS will give community groups $2.3 million to bolster ACA sign-ups

President Biden speaks before signing executive orders on health care in January. Photo: Mandel Ngan/AFP via Getty Images

The Biden administration will provide about $2.3 million to help bolster Affordable Care Act sign-ups in underserved communities, the Centers for Medicare & Medicaid Services said Monday.

Why it matters: This funding for ACA "navigators" who provide in-person enrollment assistance will help uninsured Americans take advantage of the special enrollment window that opens later this month.

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