ACA Implementation

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

View all items in this collection
Doctors examine a patient at a clinic.

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 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.


Ensuring Compliance with Network Adequacy Standards

March 1, 2017 | Issue Brief

An Urban Institute report examines how insurers increasingly trim the number of providers within networks to lower their costs, enabling them to better compete for customers, but they still must maintain network adequacy.


Recent Evidence on the ACA and Employment

February 1, 2017 | Issue Brief

An Urban Institute brief finds that the Affordable Care Act has had little to no adverse effects on employment through 2016, while increasing health insurance coverage for 20 million Americans.


What Explains the 21 Percent Increase in 2017 Marketplace Premiums, and Why Do Increases Vary Across the Country?

January 12, 2017 | Issue Brief

An Urban Institute brief finds that large 2017 ACA marketplace premium increases are due, to a great extent, to underpricing in earlier years of reform.