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:

Medical Bill

Why Is Health Spending On The Rise Again?

Kathy Hempstead explores why health spending is on the rise again in a new commentary looking at Altarum Center for Sustainable Health Spending trend data. While overall spending is still on the high side at 6.6 percent, the growth in drug spending has declined. Kathy notes the Altarum data indicate a “resolution of temporary cost drivers” is essential in order to stay within the more moderate regions of health care spending growth that we have experienced over the past few years.

October 7, 2015

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What State Policies Best Foster Health Insurance Competition?

In a new Health Affairs blog, Kathy Hempstead and Emily King explore what state policies could influence 2016 health insurance rates for marketplace plans. The authors look at the policies where states differ including plan design and managing the participation of carriers in the marketplace. They find that, on average, premiums rose the most in federally facilitated marketplace states, and declined most in state-based marketplace states. However, their research also suggests many other factors affect premiums, including local health care prices and population characteristics.

October 5, 2015

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Has Physician Reimbursement Changed Under The ACA?

A new ACAView report from athenahealth shows primary care physicians (PCPs) and surgeons are collecting more in reimbursement since implementation of the Affordable Care Act (ACA), especially those in states that did not expand Medicaid. From 2013-14, PCPs in states that did not expand Medicaid saw their reimbursement collections increase 3.3 percent. In states that expanded Medicaid, the increase was 3.0 percent. For surgeons, reimbursement collections increased 4.0 percent in non-expansion states and 2.0 percent in expansion states. The authors say the increase is largely due to an increase in reimbursement rates.

October 1, 2015

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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.

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What Are the Recent Trends in Small-Business Health Insurance?

A new report from the Urban Institute and Georgetown University’s Health Policy Institute looks at recent trends in small-business health insurance, including the effects of new incentives created by the Affordable Care Act (ACA). Through interviews with stakeholders from AR, MT, NM, PA, and VT, and health coverage trends, 2017 may be marked by big changes in the small-group health insurance market. The authors find relatively few employers have taken advantage of SHOP (Small Business Health Options Program), the ACA-established program allowing them to more easily compare and purchase health coverage for their workers.

September 29, 2015

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Do Disabled Americans Have Trouble Accessing Care?

New data briefs from the Urban Institute’s Health Reform Monitoring Survey show barriers to care remain even as many gain insurance coverage. The first brief finds one in four insured, disabled Americans has been unable to afford care or experienced trouble with their health plan, refusing payment in the past 12 months, compared to 13.6 percent of insured Americans without a disability. A second brief finds that low-income, insured individuals are nearly four times as likely as their higher-income counterparts to have trouble finding a doctor. 

September 28, 2015

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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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