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


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.


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.


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.


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.