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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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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

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How Has the ACA Affected Veterans’ Health Coverage?

A new issue brief from researchers at the Urban Institute assesses the effect of the Affordable Care Act (ACA) on veterans. Researchers found between 2013 and 2015 the uninsurance rate for nonelderly veterans fell by 42 percent, and veterans experienced fewer unmet health needs. If Medicaid expansion decisions do not change, it is projected that more than 600,000 veterans will be uninsured in 2017.

September 28, 2016

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How Did the ACA Impact Coverage in Select Metro Areas?

A new issue brief from researchers at the Urban Institute finds that the Affordable Care Act (ACA) led to a 3.6 percent drop in the national uninsured rate between 2013 and 2014. These reductions occurred broadly across demographic and socioeconomic groups, but Medicaid expansion states did experience greater drops in the uninsured rate than non-Medicaid expansion states.

September 15, 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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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 Was the ACA's Impact on the Number of Uninsured?

A new issue brief from researchers at the Urban Institute analyzes data from the first full year of the Affordable Care Act (ACA). The researchers found the number of uninsured adults dropped by more than 8 million, as millions of uninsured adults were made eligible for Medicaid or subsidies to purchase insurance in the new health insurance marketplaces.

September 9, 2016

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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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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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