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


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.


High Premiums in Nongroup Insurance Markets

January 1, 2017 | Issue Brief

An Urban Institute brief highlights three main causes for the high premiums—and notes that premiums are not high in all areas.


Where ACA-Covered People Live

December 22, 2016 | Issue Brief

The rate and number of insured Americans reached historic highs in the years following passage of the Affordable Care Act (ACA). Here's who they are and where they live.