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

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Veterans Saw Broad Coverage Gains Between 2013 and 2015

April 19, 2017 | Issue Brief

Veterans experienced gains in health coverage, mostly through Medicaid and the individual health insurance market.

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The ACA Medicaid Expansion Led to Widespread Reductions in Uninsurance Among Poor, Childless Adults

April 10, 2017 | Issue Brief

The Urban Institute examined coverage gains resulting from the ACA Medicaid expansion for subgroups of childless, adult citizens with incomes below the federal poverty level.

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How Has the ACA Changed Finances for Different Types of Hospitals?

April 4, 2017 | Issue Brief

An analysis by the Urban Institute finds that with the Affordable Care Act intact, expanding Medicaid could improve hospital finances in nonexpansion states.

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The Impact of Per Capita Caps on Federal and State Medicaid Spending

March 21, 2017 | Issue Brief

Proposed alternatives to the ACA currently under consideration in Congress would have a range of potential implications to overall health coverage rates and government spending.