A collection of reports that examine trends and issues related to implementing the broad market reforms outlined in the Affordable Care Act.

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About This Series

The Urban Institute has undertaken a comprehensive monitoring and tracking project to analyze national trends among the different groups targeted by Affordable Care Act (ACA) coverage expansions, as well as state-level implementation issues. This series includes quantitative reports which examine national trends and state-level reports which examine implementation progress and issues in Colorado, Maryland, Minnesota, New Mexico, New York, Oregon, Rhode Island, and Virginia.

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The Widespread Slowdown in Health Spending Growth

April 8, 2015 | Report

Implications for future spending projections and the cost of the Affordable Care Act are examined in a report released by the Urban Institute.

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Special Enrollment Periods in 2014

February 23, 2015 | Issue Brief

Research explores how states operating their own health insurance marketplaces handled special enrollment periods (SEPs) last year, and provides best practices for the future.

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Insurance Brokers and the ACA

February 2, 2015 | Issue Brief

Interviews conducted with brokers and other stakeholders across 21 states and D.C. provide an in-depth look at the many obstacles insurance brokers encountered during the first year of enrolling individuals in health insurance marketplace plans.

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A Comprehensive Look to Date at Insurance Marketplace Premium Costs

December 4, 2014 | Issue Brief

Research from the Urban Institute provides the most comprehensive look to date at insurance marketplace premium costs for 2015 versus 2014, with premium rates in multiple regions that have finalized marketplace premiums for 2015.

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