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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What's Behind the Slowdown in Prescription Drug Spending?

A new RWJF commentary on the Altarum Institute's monthly health spending trend report sheds light on what's causing the recent slowdown in health spending, in particular, spending on prescription drugs. There has been a marked decline in national sales of Hepatitis C therapies, with sales leveling off at near $2.4 billion for the first two quarters of 2016.

August 18, 2016

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An elderly woman holding paperwork walks away from a table at a polling center where flu shots are offered.

What Can ACA Marketplaces Learn from Medicare Programs?

A new issue brief from researchers at the Georgetown University Health Policy Institute analyzes Medicare Advantage and Part D enrollment and implementation strategies that could offer solutions to concerns about the Affordable Care Act (ACA) marketplaces. The authors find that policies and strategies used in these Medicare programs to encourage participation by insurers, keep premiums stable and enhance enrollment have the potential to add value to the ACA marketplaces.

August 16, 2016

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Image of the nineteen holdout states that did not expand Medicaid map

What is the Cost to States of Not Expanding Medicaid?

A new issue brief from researchers at the Urban Institute examines the billions in federal funds states are forgoing due to not expanding Medicaid. If the 19 remaining nonexpansion states were to expand Medicaid this year, they would see a collective net increase in federal funding of up to $462 billion, for a cost of only $56 billion.

August 8, 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 Would Happen If More States Expanded Medicaid?

A new issue brief from researchers at the Urban Institute looks at the projected changes in eligibility, enrollment, and the number of uninsured if more states expanded Medicaid in 2017. Five million people would gain insurance if the 19 holdout states expanded Medicaid in 2017, with the largest gains coming in Texas, Georgia and Florida.

July 19, 2016

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Are Standardized Benefits Possible for Federal Marketplace? Learnings from States.

A new issue brief from researchers at the Urban Institute examines several state-based marketplaces and their attempts at standardized benefit design. These learnings come as an effort is underway by the federal marketplace to simplify consumers’ shopping experience and standardize their plan benefit designs to facilitate comparison shopping.

July 14, 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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