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 resident doctor meets with a patient at the Greater Lawrence Family Health Center.

Are ACA Enrollees Getting Needed Care?

New Health Reform Monitoring Survey data from the Urban Institute look at the impact of marketplace coverage on low- and middle-income adults and their ability to get the care they need. Nearly 70 percent of middle-income adults received a check-up in the last 12 months, almost 71 percent of adults receiving Medicaid did so, and only 41 percent of the uninsured received a check-up. Researchers note that people with marketplace coverage have similar experiences as those of people with coverage through their employer.  

April 22, 2016

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How Many More Uninsured Adults Would There Be Without the ACA?

A new issue brief from the Urban Institute, published in the peer-reviewed journal Inquiry, looks at the hypothetical 18 million uninsured adults that would exist today if the Affordable Care Act (ACA) had never been implemented. By using counterfactual forecasts, the authors calculate that without the ACA, 39.3 million adults would be uninsured. The report also finds the ACA is responsible for reducing the percentage of uninsured adults by 46 percent.

April 18, 2016

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A young girl has her blood pressure tested during health screenings at the ReGenesis Back to School Fair in Spartanburg, SC.

Who Has More Hospital Admissions Among Insurance Plan Types?

A new commentary by Kathy Hempstead examines National Association of Insurance Commissioner data on Blue Cross Blue Shield individual and group or employer-provided plans in select states. She finds that people with individual plans use more health care services than those with group plans, specifically more hospital admissions and emergency room use.

April 12, 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

Can Telemedicine Help Insurers Meet State Network Requirements?

A new issue brief from researchers at Georgetown University’s Health Policy Institute analyzes interviews with officials in six states—Arkansas, Colorado, Illinois, Maine, Texas, and Washington. The authors identified pros and cons of insurers expanding coverage via telemedicine services and find insurers could meet new state requirements by covering more telemedicine—especially for consumers living in rural or underserved urban areas.

April 6, 2016

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How Slowly Will Health Spending Grow?

A new commentary from Kathy Hempstead highlights the latest Altarum Center for Sustainable Health Spending trend report examining the continued slowdown in the growth of health care spending. With the impact of coverage expansion likely having run its course, the final quarter of 2015 saw spending growth at 4.6 percent, compared to the 6.7 percent growth seen in the first quarter of 2015. For the entire 2015 year, growth was 5.8 percent, compared to 5.3 percent in 2014.

April 4, 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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