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Posts by Drew Altman

Remarkable. Even with single payer advocates running, an HHS secretary and the issue on voter’s minds, not a single health question during the televised part of the California governor’s debate. Police 24/7 was more important.

3 hours ago 11 2 13 1
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Affordability Is the Issue Now, But Look for the Uninsured to Make a Comeback A new column on the uninsured from President and CEO Dr. Drew Altman explains: “The uninsured is not the most politically salient problem in health care now, that’s affordability, nor is it the non-problem some say it is. But it’s coming back. And the problem of the chronically ill uninsured is glaring.” Read more.

No group is more screwed (in health research speak, faces more barriers to care), than the chronically ill uninsured. I explain in my new column: on.kff.org/4mhgHWk

1 week ago 8 4 1 0

Two things candidates need to connect with voters on health:
 
+ Convince them they really care about their health care costs

+ Have a simple, tangible solution voters can understand (even if it doesn’t solve the whole problem and isn’t a comprehensive health reform plan).

2 weeks ago 6 1 2 0
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Healthcare Reclaims Top Spot Among U.S. Domestic Worries Americans say they worry most about healthcare among 16 domestic issues, followed by the economy, inflation, the federal budget and income inequality.

Gallup also finds health at the top now.

A different take separating health costs from economic concerns and combining “availability” and “affordability,” but however you ask it these days, the public has health costs on their minds.

3 weeks ago 5 3 1 0
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KFF Tracking Poll on Health Information and Trust: Use of AI For Health Information and Advice | KFF This poll finds that about as many adults are turning to AI for health information as social media, with health care costs and access driving many users, particularly younger users.

Today’s new KFF poll. Lots of people are using AI for health information. That’s probably not surprising.

What is: many are doing it because they can’t afford medical care.

4 weeks ago 19 11 1 3
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A Note on How the War in Iran May Affect Health Care in the Midterms In a new column, Dr. Drew Altman, KFF’s President and CEO, discusses the impact of the war in Iran and rising gas prices on voter concerns about health care costs. He writes: “Recently, we saw health ...

Why health care affordability will be a top economic issue after the Iran war.

My latest column: on.kff.org/4splo2D

4 weeks ago 1 0 1 1
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Are the Tradeoffs from Prior Authorization Worth It? 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.

People say prior authorization review is their number one problem when they try to get health care. Can we get rid of it?

My new column:

1 month ago 7 3 1 0
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This may not last with gas prices rising, but we have not seen it often: health costs are THE top household economic concern, propelled by reality, political debate about ACA tax credits, and media coverage.

1 month ago 10 7 0 1
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Deepest sympathies for the many great journalists laid off at the Washington Post today. A comment on many things about the news industry and why I prefer our non profit model with our own stable funding and no need to chase revenue or clicks.

2 months ago 7 0 0 0
Stacked bar chart showing the public's levels of worry when it comes to affording living necessities. Shown among total adults.

Stacked bar chart showing the public's levels of worry when it comes to affording living necessities. Shown among total adults.

It’s not going to be a health care election but it will partly be a health cost election.

Our new poll: on.kff.org/3LGVtUh

2 months ago 13 10 0 0
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When you think about us having a health care cost problem, which part of this Venn diagram comes to mind first?
@drewaltman.bsky.social
www.kff.org/from-drew-al...

2 months ago 6 5 6 1
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Our Darwinian Approach to Health Care Costs In his latest column, President and CEO Dr. Drew Altman presents his Venn diagram of health care cost problems and shows how, in our fragmented health system, reducing one health cost problem often ma...

Everyone wants to reduce health care spending – their own, often at the expense of someone else’s health spending. No one really wants to take on underlying costs.

My latest column: on.kff.org/4a11umO

2 months ago 1 4 1 0
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Medicaid: What to Watch in 2026 | KFF In this brief on Medicaid issues to watch for 2026, KFF explores how state fiscal pressures are likely to converge with the implementation of the 2025 reconciliation law to affect Medicaid coverage, f...

More on what to watch this year: on.kff.org/4r4r80I

2 months ago 0 0 0 0
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Medicaid and Upcoming State Budget Debates | KFF This brief describes current state fiscal conditions as states begin fiscal year 2027 budget debates and highlights key areas to watch for Medicaid policy changes as states respond to fiscal challenge...

States are starting to cut Medicaid as revenues fall and federal cuts loom, making lots of different cuts to spread the pain and ease the politics. But work requirements and the $1T in federal Medicaid cuts have not hit yet. on.kff.org/45rYOND

2 months ago 0 0 2 0

Trump is not interested in Greenland’s rare earth minerals, or national security. He wants their single payer health system.

3 months ago 0 0 0 0
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We have been trying to analyze the Trump health “plan” but I worry that unless Congress puts something real together we are analyzing air. Big Q’s such as are pre-x protected are impossible to answer from their Fact Sheet. What we do know: it partly captured a news cycle.

3 months ago 21 12 5 4
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Fact Sheet: President Donald J. Trump Calls on Congress to Enact The Great Healthcare Plan CALLING ON CONGRESS TO LOWER HEALTHCARE COSTS: Today, President Donald J. Trump called on Congress to enact the Great Healthcare Plan, a comprehensive

It looks like Trump’s “buy your own insurance“ plan would largely do away with pre-x protections and the Marketplaces, but not insurance companies he doesn’t like who would still provide most of the coverage.

3 months ago 12 8 6 3
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Trump Has No Health Plan, He Has the Art of the Health Care Deal In his first column for the new year, KFF CEO Dr. Drew Altman analyzes President Trump’s “make a deal” approach to health care. He explains that while the president doesn’t have a health reform plan, ...

Today Trump called on R’s to “ own health care”, an issue they have never won. But with what? Trump favors narrow, glitzy industry deals, not comprehensive plans dealing with coverage and costs. Can that formula work?

My column: on.kff.org/4ssYisr

3 months ago 3 2 1 0
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First-Year Rural Health Fund Awards Range From Less Than $100 Per Rural Resident in Ten States to More Than $500 in Eight | KFF This policy watch evaluates state awards through the rural health fund in 2026, the first year of the program. The analysis shows relatively modest variations in total awards this year across states b...

The Rural Fund grants are a grab bag from telehealth to mobile health to parks and trails for recreation.

Our analysis based on rural population:

3 months ago 2 4 0 0
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Poll: 1 in 3 ACA Marketplace Enrollees Say They Would "Very Likely" Shop for a Cheaper Plan If Their Premium Payments Doubled; 1 in 4 Say They “Very Likely” Would Go Without Insurance | KFF If the amount they pay in premiums doubled, about one in three enrollees in Affordable Care Act Marketplace health plans say they would be “very likely” to look for a lower-premium Marketplace plan (w...

1 in 4 in our Marketplace enrollee survey say they will drop insurance. But 1 in 3 will pick cheaper high deductible plans, many with deductibles and co-pays they cannot afford. on.kff.org/4464PPo

4 months ago 7 4 0 1
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Why We Are Stuck with Prior Authorization Review Prior authorization review frustrates patients and physicians, but we likely can’t just eliminate it. In his new column, President and CEO Dr. Drew Altman discusses why, and why the focus is now inste...

No one likes prior authorization review. But could we get rid of it? My new column: www.kff.org/from-drew-al...

5 months ago 8 6 2 1
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Under Trump, Immigrants Are More Fearful but Determined to Stay, Poll Finds

Our survey of immigrants with the NYT, out now, shows while the immigration crackdown has caused fear and anxiety, immigrants still prefer the U.S. to where they came from and are optimistic about the future.

With that resilience, nativism can’t win long term.

5 months ago 15 4 0 1
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How ACA Marketplace costs compare to employer-sponsored health insurance - Peterson-KFF Health System Tracker Prior to the Affordable Care Act (ACA), insurers selling coverage to individuals would deny people with serious pre-existing conditions and high-risk occupations, exclude coverage for certain services...

With all the talk about ACA costs being out of control, they are actually quite similar to and slightly less than employer (group) health costs.

The problem is health care costs, not the ACA.

5 months ago 57 18 6 3

If Republicans decide to make a deal on ACA tax credits to reduce the political danger for moderate R’s in the midterms, there are compromises with Democrats that can work. See Jonathan Cohn in Bulwark today. That’s if.

5 months ago 0 0 0 0

With one vote on the ACA tax credits in December, no agreement on a plan, and no commitment from the House or Trump, there is no apparent path to extending the credits. It means the issue will prosecuted in the midterms, and it means pain for tens of millions of Americans.

5 months ago 4 0 0 0
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The government is shut down over health care. But does insurance save lives? The surprisingly tricky question stumped researchers for decades. But they think they finally have an answer.

Not this again. Insurance provides access to health care, so it’s actually health care that “doesn’t save lives”, statistically in the aggregate, because most people aren’t sick. But if you get sick, it absolutely does. Anybody ready to go without it. www.washingtonpost.com/business/202...

5 months ago 2 0 1 0

Trump has now called for replacing the ACA (again) so people can buy skimpier policies from insurance companies (again)?? In a shutdown debate where tax credits are the issue not the popular law. As a negotiating strategy that’s tripling down.

5 months ago 6 2 0 0

Many implications of the big Dem win tonight. One for health care: it could provide an incentive for Republicans to make a deal on ACA tax credits to deny Democrats the issue in the midterms and further momentum.

5 months ago 3 1 0 0
KFF bar chart graphic titled "About 4 in 10 Parents Support the MAHA Movement, Including 8 in 10 MAGA Republican Parents." Data shows varying levels of support across different demographics including party ID, race/ethnicity, education, age, and gender. Key insights include higher support among Republicans and lower support among Democrats and Independents. Presented by KFF/The Washington Post, dated July 18-August 4, 2025.

KFF bar chart graphic titled "About 4 in 10 Parents Support the MAHA Movement, Including 8 in 10 MAGA Republican Parents." Data shows varying levels of support across different demographics including party ID, race/ethnicity, education, age, and gender. Key insights include higher support among Republicans and lower support among Democrats and Independents. Presented by KFF/The Washington Post, dated July 18-August 4, 2025.

Who are MAHA parents?

The breakdown from our poll with the @washingtonpost.com: on.kff.org/477Oo5L

6 months ago 4 2 0 0
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In Mississippi, Medicaid Coverage of Weight Loss Drugs Fails to Catch On - KFF Health News In Mississippi, a state with one of the highest obesity rates in the nation, Medicaid covers weight loss drugs, but few enrollees have signed up for the benefit.

GLP-1s in the real world of Mississippi Medicaid: the people and the costs.

Check out this story from our Phil Galewitz:

6 months ago 6 1 0 1