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


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 examining national trends and state-level reports which analyze implementation progress and issues in Colorado, Maryland, Minnesota, New Mexico, New York, Oregon, Rhode Island, and Virginia.

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Marketplace Price Competition in 2014 and 2015

June 29, 2015 | Issue Brief

A Urban Institute report lends insight into which types of insurers are keeping premiums for marketplace plans aggressively low in order to attract customers and remain competitive.


Marketplace Health Plans Embrace Limited-Provider Networks to Keep Premiums Affordable

May 28, 2015 | Issue Brief

This issue brief from Mathematica Policy Research examines health plan efforts in eight selected communities to offer products with affordable premiums in 2014, the first year of the ACA marketplaces.


Medicaid Expansion, the Private Option, and Personal Responsibility Requirements

May 27, 2015 | Report

Six states have expanded coverage to hundreds of thousands of previously uninsured residents by developing their own unique approaches to the Medicaid expansion outlined in the Affordable Care Act (ACA).


Health Insurer Responses to Medical Loss Ratio Regulation

May 13, 2015 | Report

Researchers look at how insurance companies responded to the Affordable Care Act’s provision that ≥ 80 percent of consumer premiums must now go to spending on actual care or quality improvement efforts, otherwise known as the medical loss ratio.

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