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:


How Many People Had Problems Paying Medical Debt After the ACA?

New survey data from the Urban Institute's Health Reform Monitoring Survey explore health care affordability under the Affordable Care Act (ACA) and find that 9.4 million fewer families had problems paying medical bills in early 2015 than just before the rollout of the health insurance marketplaces and Medicaid expansion in 2013. The number of adults who struggled to pay medical debt declined from 22.0 percent in September 2013 to 17.3 percent in March 2015.

May 21, 2015

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What Cost-Sharing Changes Occurred From 2014 to 2015?

New data and commentary are available on changes in the cost-sharing provisions of insurance plans available in Affordable Care Act marketplaces. RWJF's Kathy Hempstead examined 2014 and 2015 Silver Plan data for all 50 states, offering the first analysis of how exchange markets and individual plans have changed from year to year.  

May 15, 2015

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What Is the Combined Effect of SCOTUS Decisions on Medicaid & Subsidies?

New research from the Urban Institute examines the compounding effects that a Supreme Court decision in King v. Burwell would have for residents of 20 states that decided not to expand Medicaid or take full responsibility for operating their insurance marketplaces under the Affordable Care Act. Researchers find that 9.8 million fewer residents in these states would have health insurance in 2016, and the states would miss out on $721 billion in federal funding from 2016 to 2025.  

May 14, 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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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.

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Recent and Related Products

Research from the Newly Enrolled and the Still Uninsured

To prepare for open enrollment, RWJF commissioned research on:

How Did Insurance Companies Respond To New ACA Medical Loss Ratio Provision?

New research from the Urban Institute looks at how insurance companies responded to the Affordable Care Act’s (ACA) provision that at least 80 percent of consumer premiums must now go to spending on actual care or quality improvement efforts, otherwise known as the medical loss ratio (MLR). The report identifies key factors in insurers meeting the MLR, including increased beneficiary claims, and slower growth in premium costs, among others.

May 13, 2015

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How Long Will the Increased Rate in Health Spending Last?

New data from the Altarum Center for Sustainable Health Spending suggests the increased rate of growth in health spending noted in late 2014 has persisted into early 2015. Kathy Hempstead explores the data in a new blog post finding health care spending in January and February 2015 is 6.5 percent higher than in 2013, a continuation of trends observed in late 2014.

April 24, 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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