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 Are Coverage Levels for America’s Workers Under the ACA?

A new report from researchers at the Urban Institute analyzes how coverage changed for workers under the Affordable Care Act (ACA). Researchers find that 14.7 million working Americans and their family members gained health insurance coverage between 2010 and 2015, with the largest gains going to workers in occupations with lower average wages and lower rates of insurance coverage. 

July 20, 2017

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How Would Cutting EHBs Affect Premiums?

A new report from researchers at the Urban Institute analyzes the share of health insurance premiums attributable to essential health benefits (EHBs). Researchers find that EHBs frequently targeted for cuts—such as maternity and newborn care which makes up six percent of premium costs—comprise a small proportion of premiums. If EHBs were cut, premiums for users who use these specific services would rise dramatically.

July 10, 2017

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Capitol Building in Washington D.C.

How Would the BCRA and the AHCA Impact States?

New reports from researchers at the Urban Institute analyze the potential state level impact of both the Better Care Reconciliation Act (BCRA) and the House-passed American Health Care Act (AHCA). Researchers find that by 2022, 24.7 million Americans could lose health insurance under the BCRA and 23.0 million could lose health insurance under the AHCA. 

June 28, 2017

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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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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 Would the AHCA Affect Federal and State Medicaid Funding?

A new report from researchers at the Urban Institute finds the American Health Care Act (AHCA) could cut federal Medicaid spending by more than $900 billion from 2019 to 2028 and cause up to 14.8 million Americans to lose Medicaid coverage by 2022. Researchers also find that states would face practical limitations on their ability to cover the federal reduction in funding without scaling back Mediacid eligibility.

June 19, 2017

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How Would the AHCA Affect Access to Mental Health Treatment?

A new report from researchers at the Urban Institute finds the American Health Care Act (AHCA) could cause millions of Americans to lose insurance coverage for mental health and substance use disorders, and limit “parity” protections that ensure benefit criteria cannot be stricter for mental health and substance use disorders than for other medical care.

June 6, 2017

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reform by the numbers video

Watch senior adviser to the executive VP 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.
Watch senior adviser to the executive VP 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.

Watch senior adviser to the executive VP 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 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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