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 is the Average National Premium Increase for Marketplace Plans?

A new issue brief by the Urban Institute examines average premium increases from 2015 to 2016 for insurance plans offered in the Affordable Care Act marketplaces. The authors found no meaningful national average, and average premiums were highly variable from state to state and even within states. Three in 10 Americans (29.1%) live in a region where the average premium for the lowest-cost silver plan declined from 2015 to 2016.

May 24, 2016

Read the brief

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RWJF Challenges App Developers To Help Consumers Choose

The third Health 2.0 Developer's Challenge offers developers cash prizes for building tools that help consumers better understand the coverage and costs of prescription drugs in plans offered through the Affordable Care Act. Experts say more and more consumers are choosing coverage for themselves without professional assistance, and need decision-support tools when choosing their plan and providers, receiving care, or trying to become more engaged in their own health. 

May 23, 2016

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Five Takeaways from the 2016 Marketplace and What 2017 Holds.

A new commentary by Kathy Hempstead offers five data insights from the 2016 Affordable Care Act marketplace and a look ahead to what 2017 may hold for consumers, payers, and providers. She forecasts that 2017 will experience product changes for many plans on the marketplace; premium prices will further converge; and UnitedHealth Group's exit will continue to be watched closely by other insurers and the market overall.

May 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

How Has the ACA Impacted Kid's Coverage?

A new issue brief from the Urban Institute surveys the changes in the rate of uninsured children due to the expansion of Medicaid and the Children’s Health Insurance Program under the Affordable Care Act. Researchers found that, by 2014, participation rates for eligible children in those public programs climbed to more than 90 percent in 32 states (including the District of Columbia) and nearly 80 percent or more in all 50 states.  

May 10, 2016

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How Does HHS Help Consumers with Complex Cases?

A new issue brief from researchers at Georgetown University’s Health Policy Institute analyzes the kinds of complex questions navigators encounter during marketplace enrollment. The Assister Help Resource Center fielded nearly 1,400 calls during a three-month period pertaining to complex health insurance application filings, eligibility determinations, and enrollment scenarios.

May 9, 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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