Reform by the Numbers

Reform by the Numbers is a source for timely and unique data about the impact of health reform.

Materials are frequently updated. Latest resources include:


What's Contributing to the Rise in Health Care Spending Growth?

New data suggest the rate of growth in health care spending is rising with the largest gains attributable to prescription drug spending. Kathy Hempstead explores the data as part of her series on the Altarum monthly trend report, finding prescription drug spending grew by 11 percent in 2014 compared to 2.5 percent in 2013.

March 26, 2015

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A doctor checks a young girl's heart in a hospital.

Has the Affodable Care Act Affected Demand for Physicians?

A new report by athenahealth shows that a year after the Affordable Care Act’s (ACA) coverage expansion provisions took effect, physicians have not experienced a sharp increase in new or sick patients scheduling appointments. In fact, in 2014 there was only a very small increase in new patients while the percentage of patients with complex medical needs decreased.

March 25, 2015

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A man fills out an insurance application

How Much Progress Did Marketplaces Make in 2015?

A new interactive website from the Urban Institute provides the first in-depth look at the state of health insurance marketplace enrollment for all 50 states and the District of Columbia. The site includes several user-friendly tools that visitors can use to see the number of people who signed up for a plan in 2015 through or a website created by a state, compared to signups in 2014, and the percentage increase in signups from 2014 to 2015 for each state, among other data points.  

March 24, 2015

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Our Grantees and Their Products

Altarum Center for Sustainable Health Spending

The Altarum Center for Sustainable Health Spending tracks national health spending, prices, utilization and jobs through their monthly Health Sector Trend Reports.

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athenahealth | ACA's Impact on Providers

ACAView assesses the impact of the ACA on provider access, patient financial obligation, health status of new patients, physician revenue cycle, and provider reimbursement.

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Breakaway Policy Strategies | Plan Benefit Design

Health Insurance Exchange (HIX) Compare compiles information on benefits and costs of health plans offered through the marketplaces in all 50 states and DC. It includes data on premiums, network composition, deductibles, and more.

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Leonard Davis Institute | Deciphering the Data

Leonard Davis Institute of Health Economics (LDI) at the University of Pennsylvania provides insight into what health insurance exchange features are most effective and what factors explain state variation.

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NAIC | Enrollment and Carrier Data

National Association of Insurance Commissioners data from health, life, fraternal, and property/casualty carriers include information on number of policies, federal and state taxes, health premiums earned, and more.

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New Jersey Hospital Association | Hospital Utilization

The Hospital ACA Monitoring Project (HAMP) provides quarterly hospital utilization data from 24 state hospital associations on all inpatient admissions and emergency departement (ED) visits by payer.

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State Health Access Data Assistance Center

The State Health Access Data Assistance Center (SHADAC), located at the University of Minnesota, helps states to monitor rates of health insurance coverage and provides technical assistance.

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University of Pennsylvania | Exchange Characteristics

Health Insurance Exchanges (HIX) 2.0 tracks each state's key ACA implementation decisions and examines variation in exchanges—starting with governance as well as consumer assistance, benefit design, and more.

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Urban Institute | Consumer Survey Results

The Health Reform Monitoring Survey (HRMS) provides timely information on ACA implementation and changes in health insurance coverage, access to care, and affordability.

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Reform by the Numbers Video

Watch Katherine Hempstead as she discusses the significance of the data available on Reform by the Numbers from the Association of Health Care Journalists member event.

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Research from the Newly Enrolled and the Still Uninsured

To prepare for open enrollment, RWJF commissioned research on:

Who Won the RWJF Plan Choice Challenge?

Washington, DC-based Consumers' CHECKBOOK was named the winner of the first RWJF Plan Choice Challenge, a nationwide competition facilitated by Health 2.0 to design a technology application that helps people evaluate their health insurance options. Stride Health and Clear Health Analytics took second and third place, respectively. 

March 19, 2015

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Did Marketplace Insurance Premiums Increase from 2014 to 2015?

A new brief from the Urban Institute finds that premiums for the lowest-cost ‘silver plans’ offered through insurance marketplaces increased 2.9 percent nationally, on average, from 2014 to 2015. The authors report increases were generally modest, and in some cases, premiums decreased in cost. The brief provides information on the change in price for the lowest-priced silver plans in 2014 and 2015 for every state and rating region in the U. S., as well as in select major cities and rural areas. 

March 17, 2015

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Additional resources on ACa implementation and the impact of health reform

Real-Time Policy Analysis

Urban Institute Quick Strikes are a series of timely briefs that examine a variety of health insurance coverage issues in the United States.

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Monitoring & Tracking ACA Implementation

The Urban Institute's monitoring and tracking series analyzes trends across diverse states on key health reform implementation issues.

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