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:

A patient pays cash for services in a medical office.

How Has the ACA Impacted Health Spending Growth?

A new report from researchers at the Urban Institute finds that the Affordable Care Act (ACA) expanded coverage to millions of people, without causing a permanent spike in health spending. Researchers discuss a number of reasons why health spending has recently leveled off, including contributions by the ACA. They say that enrollment increases have played a major role in Medicaid spending growth, with growth in spending per enrollee below that of other payers.

May 24, 2017

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Is the Cost of the AHCA High-Risk Pool Enough to Cover the Estimated Need?

A new report by researchers at the Urban Institute analyzes the potential cost of proposed high-risk pools under the American Health Care Act (AHCA). Researchers find that the estimated cost of high-risk pools is three to five times AHCA funding, depending upon design. They conclude that the federal funds allocated in the AHCA would not be enough for insuring high-need individuals through high-risk health insurance pools.

May 18, 2017

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How do the AHCA's Tax Credits Compare to the ACA's?

A new report by researchers at the Urban Institute compares tax credits offered through the American Health Care Act (AHCA) with those in the Affordable Care Act (ACA). The analysis finds that younger people and those living in low-cost areas typically receive larger insurance premium tax credits under the AHCA, while older adults and those living in high-cost areas typically receive larger premium tax credits under the ACA.

May 17, 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

What Characterizes the Marketplaces with One or Two Insurers?

A new report by researchers at the Urban Institute finds marketplace health insurance premium levels and premium growth directly correlate with the number of insurers participating in a given rating region. The analysis also finds markets with only one or two insurers tend to be heavily concentrated in southern states and sparsely populated areas.

May 10, 2017

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What Are the Costs of Not Expanding Medicaid?

A new report by researchers at the Urban Institute finds the nineteen states which have yet to expand Medicaid are forgoing significant federal funding and coverage gains. According to the researchers, the states would gain $7.14-$7.75 in federal funding for each state dollar they invest in Medicaid and could collectively reduce the number of uninsured by more than 4 million people.

April 27, 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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