Anchorage dental hygienist Victoria Cronquist pays $1,600 a month for a health insurance policy that covers four people in her family. Next year, she says, the rate is set to jump to $2,600 a month.
Aymara Marchante (from left) and Wiktor Garcia talked with Maria Elena Santa Coloma, an insurance adviser with UniVista Insurance, during February 2015 sign-ups for health plans in Miami, Fla.
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Gov. Jerry Brown signed California's Medicaid expansion bill into law in June 2013. Since then, the number of people enrolled in Medi-Cal, the state's version of Medicaid, has surged.
Nurses Patricia Wegener (left) and Susan Davis at Mercy Hospital can monitor the condition of a patient who is miles away via the hospital's technology. But some health insurers and analysts remain skeptical that telemedicine saves money.
Doris Keene (right) talks with her acupuncturist before a treatment at Portland's Quest Center for Integrative Health. Keene says the treatments have eased her chronic back pain at least as effectively as the Vicodin and muscle relaxants she once relied on.
Kristian Foden-Vencil/Oregon Public Broadcasting
Marilyn Kruse couldn't get health insurance through her job as a substitute teacher in Jefferson County, Colo. Now she buys insurance through the state's health exchange.
John Daley/Colorado Public Radio
A Medicaid office employee works on reports at Montefiore Medical Center in New York in late 2014. New York expanded Medicaid eligibility under the Affordable Care Act and enrollment surged.
Outreach coordinator Sonny Weahkee (left) talks with a restaurant customer about health insurance for Native Americans in Shiprock, N.M., in early August.
Heidi de Marco/Kaiser Health News