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


About This Series

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 series 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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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.


Evidence on the ACA and Employment: Has the ACA Been a Job Killer?

August 6, 2015 | Report

An analysis of federal data on employment and the U.S. labor force finds that the ACA had no adverse effect on labor force participation; employment; probability of part-time work; and hours worked per week, despite predictions to the contrary.


Six State Experiences with Marketplace Renewals

July 27, 2015 | Report

A study of six states shows they effectively re-enrolled insurance marketplace customers in large numbers, in spite of challenges helping consumers balance convenience and health plan affordability.


Marketplace Price Competition in 2014 and 2015

June 29, 2015 | Issue Brief

An Urban Institute report lends insight into which types of insurers are keeping premiums for marketplace plans aggressively low in order to attract customers and remain competitive.

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