ACA Implementation

A collection of reports and briefs from the Urban Institute that examine trends and issues related to implementing the broad market reforms outlined in the Affordable Care Act.

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About This Collection

The Urban Institute has 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.

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2016 Premium Increases in the ACA Marketplaces

November 24, 2015 | Issue Brief

Researchers found a 4.3 percent increase in the average premium of the lowest-cost silver plan across 20 states and D.C, countering earlier predictions of double-digit premium rate increases.


Marketplace Antidepressant Coverage and Transparency

November 4, 2015 | Issue Brief

While studies reveal that anti-depressants are the most common category of drugs used by adults between the ages of 18 and 44, the health insurance market shows a significant level of variability in anti-depressant coverage.


Variation in Marketplace Enrollment Rates in 2015 by State and Income

October 29, 2015 | Issue Brief

An Urban Institute report outlines the percent of people eligible for tax credits by income level and their enrollment rate, along with which states have the highest enrollment rates among those eligible for tax credits.


Post-Affordable Care Act Trends in Health Coverage for Small Businesses

September 1, 2015 | Issue Brief

Interviews with stakeholders from Arkansas, Montana, New Mexico, Pennsylvania and Vermont, and health coverage trends, suggest 2017 may be marked by big changes in the small-group health insurance market.

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