Reform by the Numbers

Reform by the Numbers is a source for timely and unique data about the impact of health reform.

Materials are frequently updated. Latest resources include:

Tulsa: Westview Clinic

How Many Kids Gained Health Coverage?

A new report from researchers at the University of Minnesota State Health Access Data Assistance Center (SHADAC) shows one million fewer kids went without health insurance in 2014, compared to 2013. As of 2014, roughly one in 16 kids (6.3%) are without health insurance. The report cites gains in public sources of insurance like CHIP and Medicaid as main causes of the drop in the number of kids without health insurance.

February 11, 2016

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Data builds bridges between patient experience and clinician expertise.

What Is Driving the Slowdown in Health Spending?

A new analysis by Kathy Hempstead on the Altarum Center for Sustainable Health Spending’s trend report finds overall spending growth in 2015 clearly exceeded that of 2014, but that a reduction appears to be underway in 2016. Kathy also observes noticeable declines in prescription drug spending, from a recorded high of 12.2 percent in Q1 2015, to 9.1 percent observed in the first two months of Q4 2015.  

February 11, 2016

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Rapid City Regional Hospital at dusk.

How Many Marketplace Plans Still Include Top-Ranked Hospitals?

A new commentary by Kathy Hempstead examines consumers’ ability to pick a marketplace plan that includes their hospital of choice. Nearly all (95%) of the nation’s top-rated hospitals are covered by at least one marketplace plan in 2016. Despite this, the analysis finds that fewer plans are covering these top-rated hospitals, overall.  

February 5, 2016

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Our Grantees and Their Products

Altarum Center for Sustainable Health Spending

The Altarum Center for Sustainable Health Spending tracks national health spending, prices, utilization and jobs through their monthly Health Sector Trend Reports.

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athenahealth | ACA's Impact on Providers

ACAView assesses the impact of the ACA on provider access, patient financial obligation, health status of new patients, physician revenue cycle, and provider reimbursement.

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Breakaway Policy Strategies | Plan Benefit Design

Health Insurance Exchange (HIX) Compare compiles information on benefits and costs of health plans offered through the marketplaces in all 50 states and DC. It includes data on premiums, network composition, deductibles, and more.

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Georgetown University Health Policy Institute

The Center on Health Insurance Reforms at Georgetown University's Health Policy Institute conducts research on the complex and developing relationship between state and federal oversight of health insurance markets.

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Leonard Davis Institute | Deciphering the Data

Leonard Davis Institute of Health Economics (LDI) at the University of Pennsylvania provides insight into what health insurance exchange features are most effective and what factors explain state variation.

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NAIC | Enrollment and Carrier Data

National Association of Insurance Commissioners data from health, life, fraternal, and property/casualty carriers include information on number of policies, federal and state taxes, health premiums earned, and more.

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New Jersey Hospital Association | Hospital Utilization

The Hospital ACA Monitoring Project (HAMP) provides quarterly hospital utilization data from 24 state hospital associations on all inpatient admissions and emergency departement (ED) visits by payer.

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State Health Access Data Assistance Center

The State Health Access Data Assistance Center (SHADAC), located at the University of Minnesota, helps states to monitor rates of health insurance coverage and provides technical assistance.

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University of Pennsylvania | Exchange Characteristics

Health Insurance Exchanges (HIX) 2.0 tracks each state's key ACA implementation decisions and examines variation in exchanges—starting with governance as well as consumer assistance, benefit design, and more.

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Urban Institute | Consumer Survey Results

The Health Reform Monitoring Survey (HRMS) provides timely information on ACA implementation and changes in health insurance coverage, access to care, and affordability.

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Reform by the Numbers Video

Watch Katherine Hempstead as she discusses the significance of the data available on Reform by the Numbers from the Association of Health Care Journalists member event.

Additional Data to Explore

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Recent and Related Products

Understanding the Uninsured Now

In order to get a full picture of the lives of the uninsured and explore their feelings around enrolling in health insurance, RWJF commissioned a national survey, conducted by PerryUndem and GMMB, with uninsured adults at the conclusion of the second open enrollment period for the health insurance marketplace.

Read the survey findings

What Are the Potential Effects of United Healthcare and Co-ops Exiting the Marketplaces?

A new issue brief from researchers at the Urban Institute looks at the potential enrollment effects of several co-ops failing and United Healthcare potentially exiting the marketplaces. The researchers say the consequences could be overstated due to Blue Cross insurers, managed care plans, and others dominating the marketplaces. The brief examines 81 of the most populous areas of the country to find which insurers offer the lowest-cost silver plans, which typically have the highest rates of enrollment among marketplace plans.   

January 27, 2016

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What Does the Latest Health Spending Data Show?

A new analysis by Kathy Hempstead on the Altarum Center for Sustainable Health Spending’s health trend report finds health care spending growth was up slightly in 2015 at 6.3 percent for the first three quarters of 2015. That’s 1.0 percentage point higher than the 5.3 percent observed in 2014. Kathy also notes utilization rates may have stabilized, growth in prescription drug spending is decreasing and in Q3 2015, year-over-year growth in health care jobs continued expanding steadily at a rate of 3.0 percent.   

January 20, 2016

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Additional resources on ACa implementation and the impact of health reform

Real-Time Policy Analysis

Urban Institute Quick Strikes are a series of timely briefs that examine a variety of health insurance coverage issues in the United States.

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Monitoring & Tracking ACA Implementation

The Urban Institute's monitoring and tracking series analyzes trends across diverse states on key health reform implementation issues.

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