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 Are the Implications of King v Burwell?

A new sumary brief from the Urban Institute highlights key points regarding the potential impact on consumers, health spending and the number of uninsured Americans if the Supreme Court rules that Affordable Care Act tax credits are unconstitutional in 34 states. Researchers say that 9.3 million people would lose tax credits, with two-thirds of these people becoming uninsured and health care spending would fall by at least 35 percent (projected loss of $9.7 billion).

March 2, 2015

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How Prepared Were State Marketplaces for the 2014 Special Enrollment Period?

A new report from the Urban Institute illustrates how state-based marketplaces have managed the enrollment process for consumers who experience life-changing circumstances, such as getting married, having a baby or losing employer-sponsored coverage or Medicaid, qualifying them to enroll in a marketplace plan outside of the normal open enrollment period.  

February 25, 2015

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What Are Trends in Health Care Spending?

A new blog from Kathy Hempstead examines Altarum Center for Sustainable Health Spending data on health care services and prescription drugs. She notes that spending in the first three quarters of 2014 outpaced the same period in 2013 (5.0% vs. 3.6%). Kathy attributes not only prices going up, but also an increase in utilization, especially prescription drug utilization.

February 25, 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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Recent and Related Products

Research from the Newly Enrolled and the Still Uninsured

To prepare for open enrollment, RWJF commissioned research on:

Are the Uninsured Aware of Tax Penalties and the Enrollment Deadline?

New data from the Urban Institute's Health Reform Monitoring Survey shows many uninsured adults are unaware of the looming tax penalty for individuals who have not obtained health insurance. Only a quarter of the uninsured people surveyed with incomes in the tax penalty range expect to pay the penalty. The authors say that low awareness of the penalties is compounded by little awareness of the deadline for enrolling in insurance plans.

February 19, 2015

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How Could King v. Burwell Affect Health Care Spending?

A new brief from the Urban Institute shows health care spending would fall by at least 35 percent for those 8.2 million becoming uninsured if the Supreme Court rules against tax credits being used to lower the cost of insurance premiums. The analysis shows the corresponding drop in health care spending would significantly lower physician, hospital and prescription drug spending.

February 12, 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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