<
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:

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

Read the brief

A nurse checks the charts of a patient.

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

Read the brief

A patient paying for services in a dental office.

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

Read the brief

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.

Learn more

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.

Learn more

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.

Learn more

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.

Learn more

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.

Learn more

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.

Learn more

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.

Learn more

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.

Learn more

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.

Learn more

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.

Learn more

Tweet Your Qs

Join the conversation by using the #ACAnumbers hashtag to ask questions about Reform by the Numbers products.

Share this

Looking for info on #ACAnumbers? Reform by the Numbers has timely data about the impact of health reform

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

Who Gained Coverage Under the ACA?

A new report by researchers at the Urban Institute examines the 19 million people who gained coverage under the Affordable Care Act. Coverage rates increased broadly across age, gender, race/ethnicity, education, and state. Of those nonelderly adults who gained coverage, a large share (87% or 14.1 million) did not have a college degree; and within this group, 44 percent were non-Hispanic whites. Fifty-seven percent of the children and adults gaining coverage were nonwhite or Hispanic.

December 22, 2016

Read the brief

What Is the State of Health Care Spending?

A new RWJF analysis examines the most recent Altarum Institute trend report and finds that since the period of rapid coverage expansion ended in 2015, aggregate health care spending growth has not returned to pre-ACA levels. Notably, for the first time in quite a while, health care services spending is growing faster than spending on prescription drugs.

November 22, 2016

Read the blog

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.

Learn more

Monitoring & Tracking ACA Implementation

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

Learn more