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:

AF4Q Grand Rapids

How Accurate Were 2016 Health Insurance Premium Predictions?

A new brief from researchers at the Urban Institute counters many earlier predictions of widespread double-digit premium rate increases for consumers purchasing health insurance in the state marketplaces this fall. The brief looks at final approved rates and found a 4.3 percent increase in the average premium of the lowest-cost silver plan across 20 states and D.C. The authors also analyzed the difference in 2015 vs. 2016 premiums and provide detailed information for each insurer participating in the marketplaces studied.  The authors suggest that many insurers may have priced aggressively early on in order to gain market share, then modified that strategy this year.

November 24, 2015

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A pediatrician makes a house visit to check on an infant patient.

How Many People Qualify for Special Enrollment Periods?

A new issue brief by researchers at the Urban Institute estimates 33.5 million people every year experience a life-changing event that ends their health insurance coverage making them eligible to enroll in a special enrollment period (SEP). These SEPs let eligible consumers remain seamlessly insured when undergoing a life-changing event like a marriage, a job loss, or Medicaid termination due to increased income, among others. However, in 2014 fewer than 15 percent of the uninsured who qualified for SEPs used them to enroll in marketplace plans suggesting consumer-focused enrollment campaigns focusing on SEPs could be beneficial.

November 17, 2015

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Prescription Drug Abuse

How Well Are Antidepressants Covered in the Marketplaces?

A new brief from the Urban Institute looks at variability in antidepressant coverage, cost-sharing requirements, and transparency in five states: Alabama, California, Florida, Maryland and Minnesota. Antidepressants are the most common category of drugs used by adults 18-44 and 17 percent of Americans are likely to have a major depressive disorder at some point during their lifetime. For many individuals, it may take trying several different antidepressants before finding one that works, making the case that there should not be limited access for patients. The authors found a significant level of variability in marketplace antidepressant coverage where 74 percent of insurers studied exclude anywhere from one to five antidepressants from their formularies and some insurers exclude as many as 15.

November 10, 2015

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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.

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Who Has Gained Health Coverage in the Last Two Years?

A new brief by researchers at the Urban Institute provides insight into which groups have made the most gains in health insurance coverage since the Affordable Care Act was enacted. The uninsured rate declined by 40.7 percent from September 2013 to September 2015 with coverage gains most notably propelled by young adults, Hispanics and families with low incomes. Among the authors’ key findings, the data show coverage rates climbed 10.1 percentage points among young adults (aged 18-30), 12.4 percentage points among Hispanics, and 15.6 percentage points among adults in families with annual incomes less than 138 percent of the federal poverty level.

November 4, 2015

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Why Are Preferred Provider Organizations Declining in Marketplace Plans?

A new commentary authored by Kathy Hempstead looks at Preferred Provider Organizations (PPOs) in the marketplaces created by the Affordable Care Act (ACA). Across the states, PPOs are being dropped or greatly reduced in insurance marketplaces, and only 33 percent of 2015 silver plan PPOs remain available in 2016. Kathy notes that although PPOs are a popular choice among marketplace options for consumers, carriers argue that their expense makes it impossible to affordably price exchange products in an already competitive market.

November 3, 2015

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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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