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 Caused the Recent Dip in Health Care Spending?

A new commentary by Kathy Hempstead examines the latest Altarum Center for Sustainable Health Spending trend data finding health care spending growth slowed in the second quarter of 2015, compared to the first quarter (5.9% increase in Q2 vs. 6.6% increase in Q1). Kathy also looks at spending on prescription drugs, health care service prices, and job growth in the health care sector.

August 27, 2015

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How Narrow Are States’ Insurance Networks?

A state-by-state brief by the Leonard Davis Institute of Health Economics provides data on how much choice consumers have over the doctors they see, if they purchased insurance through Affordable Care Act marketplaces. Now that insurers can no longer discriminate against people with pre-existing conditions and must cover a wide range of services, the brief authors say health plans are using narrow networks to keep premium costs down. The brief looks at the states with the highest percentage of narrow networks in marketplace plans.

August 24, 2015

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What Does Health Reform’s Increased Data Collection Offer Consumers?

A new report by Georgetown University's Health Policy Institute analyzes the reporting requirements for insurance company data under the Affordable Care Act and interviews with key health insurance stakeholders. These information sources are used to identify the benefits and challenges of using a big data approach. Among the challenges identified, privacy and security concerns are among the biggest obstacles that researchers found.

August 20, 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 Are the Remaining Uninsured and Where Are They?

New survey data from the Urban Institute's Health Reform Monitoring Survey highlight who is still without health insurance as of March 2015, showing that the majority of the remaining uninsured (53.1%) live in states that did not expand Medicaid under the Affordable Care Act (ACA). The data also show that a larger share of the uninsured population is now located in Southern states, compared to the days of pre-ACA Medicaid expansion and introduction of marketplaces.

August 18, 2015

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Has the ACA Been a Job Killer?

A new analysis by researchers at the Urban Institute shows that during the first full year of its coverage expansions, the Affordable Care Act (ACA) had no negative impact on employment and hours worked per week. Researchers specifically find that the ACA had no adverse effect on labor force participation; employment; the probability of part-time work; or hours worked per week by nonelderly adults. For persons with a high school education or less, however, the ACA was associated with a small increase in employment and the probability of part-time work.

August 10, 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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