ACA Implementation

A collection of briefs and reports on current topics related to health insurance coverage and health care costs.

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About This Collection

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 collection 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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Health Coverage

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Can Telemedicine Help Address Concerns with Network Adequacy?

April 1, 2016 | Issue Brief

Despite widespread physician shortages in certain areas in the United States, insurers have generally not incorporated telemedicine providers into their networks.


Who Are the Remaining Uninsured, and What Do Their Characteristics Tell Us About How to Reach Them?

March 30, 2016 | Issue Brief

RWJF and the Urban Institute examine the characteristics of the remaining 33 million uninsured individuals in the United States and how to reach them.


Marketplace Plan Choice: How Important Is Price?

March 23, 2016 | Issue Brief

When it comes to selecting a marketplace plan, price is the greatest influencer for consumers.


2016 Premium Increases in the ACA Marketplaces

November 24, 2015 | Issue Brief

Researchers found a 4.3 percent increase in the average premium of the lowest-cost silver plan across 20 states and D.C, countering earlier predictions of double-digit premium rate increases.