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, Georgetown University's Health Policy Institute, Mathematica Policy Research and others have 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.

Latest Content


The Evidence on Recent Health Care Spending Growth and the Impact of the Affordable Care Act

May 24, 2017 | Issue Brief

An Urban Institute brief finds that the Affordable Care Act (ACA) has expanded coverage to millions without causing a permanent spike to health spending.


High-Risk Pools Under the AHCA

May 18, 2017 | Issue Brief

Researchers find that the federal funds allocated in the AHCA would not be enough for insuring high-need individuals through high-risk health insurance pools.


A Big Picture Look at the Individual Market, 2013-2017

May 18, 2017 | Issue Brief

Since the implementation of ACA reforms in 2014, the individual health insurance market has changed significantly. For example, the number of issuers declined considerably and the types of carriers changed.


Premium Tax Credits Tied to Age Versus Income and Available Premiums

May 1, 2017 | Issue Brief

A brief by the Urban Institute reports that the American Health Care Act’s (AHCA) age-related tax credits are not as well targeted to those with greatest need as the Affordable Care Act (ACA).