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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:

Participants in the Veteran Welcome Ceremony in Menominee Indian High School.

How did the ACA affect veterans and their families?

A new report by researchers at the Urban Institute finds that approximately 429,000 veterans gained coverage between 2013 and 2015, a reduction in uninsurance rates of nearly 40 percent. The gains were broad-based across a variety of demographic groups, but veterans’ uninsurance rates were lower in states that expanded Medicaid than states that did not.

April 19, 2017

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An elderly man collecting a meal in a cafeteria.

How Has ACA Medicaid Expansion Affected Poor, Childless Adults?

A new report by researchers at the Urban Institute finds states that expanded Medicaid eligibility under the Affordable Care Act (ACA) reduced uninsured rate of poor, childless adults by 47 percent. Using data from 2013-2015, researchers found coverage gains were particularly large among adults in fair or poor health. The authors suggest these coverage gains indicate that the ACA Medicaid expansion reached a group of vulnerable adults who likely had limited access to affordable coverage before the ACA.

April 10, 2017

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A nurse fills out patient information.

How Has ACA Medicaid Expansion Impacted Hospitals?

A new report by researchers at the Urban Institute examines the effects of the Affordable Care Act's Medicaid expansion on hospital finances. Using data through 2015, the analysis finds that hospitals in states that expanded Medicaid had decreased expenses from uninsured patients, increased revenue from newly covered patients, and improved their profit margins compared to hospitals in nonexpansion states.

April 4, 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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Join the conversation by using the #ACAnumbers hashtag to ask questions about Reform by the Numbers products.

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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

How Would the American Health Care Act (AHCA) Affect Medicaid Spending?

A new report by researchers at the Urban Institute examines the potential impact of per capita caps on Medicaid spending. Researchers found that between 2019 and 2028 the AHCA could cut $734 billion in federal and state Medicaid spending, and states with the largest coverage gains under the Affordable Care Act would face larger effects than states that did not expand Medicaid.

March 21, 2017

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How Can States Assess If Insurers Have Adequate Networks?

A new report by Urban Institute researchers examines health plan provider networks and their network adequacy standards in four states—California, Colorado, Illinois and Nevada. Regulatory gaps exist, but researchers identified best practices states can use to assess the adequacy of provider networks and ensure consumers have adequate access to health care providers.

March 16, 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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