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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:

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Has the ACA Been a Job Killer?

A new report by researchers at the Urban Institute examines the effects of the Affordable Care Act (ACA) on the labor market. Based on an analysis of employment, number of hours worked per week among workers, and part-time employment, researchers find that the ACA has had little to no adverse effects on employment through 2016.

February 16, 2017

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How Accessible and Affordable were Individual Health Plans before the ACA?

A new report by Georgetown Health Policy Institute examines the accessibility and affordability of individual market health plans before the implementation of the Affordable Care Act (ACA). The researcher found the price of insurance plans, what the plans covered, and how easy they were to purchase were determined in large part by a person's health status and where they lived.

January 24, 2017

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A medical professional helps patients fill out forms for medical insurance.

What is the Cause of Large 2017 Premium Increases?

A new report authored by researchers at the Urban Institute finds that large 2017 premium increases are, to a great extent, due to underpricing in earlier years of reform. The analysis also finds huge variation across states and rating regions in the average increase of the lowest-cost silver premiums in individual Affordable Care Act (ACA) marketplace plans. Arizona experienced the highest average increase, which was a highly publicized 125 percent, while the average premium for the low cost options in Arkansas decreased by 4 percent.

January 12, 2017

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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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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 Does Proposed Partial ACA Repeal Mean for Uncompensated Care Spending?

A new issue brief by researchers at the Urban Institute examines how the proposed partial repeal of the Affordable Care Act (ACA) through a reconciliation bill would affect uncompensated care spending. Researchers found that over a 10-year period uncompensated care spending would increase by $1.1 trillion. Federal funding would not match this growth, increasing the burden on state and local governments and health care providers, and increasing unmet medical needs.

January 5, 2017

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What Are Potential Solutions to High Insurance Premiums?

A new report by researchers at the Urban Institute examines the issue of high insurance premiums plaguing some health plans offered on the Affordable Care Act marketplaces along with potential solutions. However, the authors posit that the potential policy solutions are not one-size-fits-all—meaning some markets may require different fixes than their neighbors.

January 4, 2017

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reform by the numbers video

Watch senior adviser to the executive VP 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.
Watch senior adviser to the executive VP 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.

Watch senior adviser to the executive VP 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 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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