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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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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The Unit-Based Clinical Leadership (UBCL) structure at the University of Pennsylvania Hospital System uses unit-based data to improve patient outcomes.

How Many Americans Have Gained Coverage Since September 2013?

New data from the Urban Institute’s Health Reform Monitoring Survey show that the number of uninsured American adults 18 to 64 has fallen by 15 million since September 2013, the month before the Affordable Care Act (ACA) insurance marketplaces officially opened for business. The percentage of uninsured adults fell from 17.6 percent in September 2013 to 10.1 percent in March 2015.   

April 16, 2015

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pocket change

Are the Uninsured Aware of Tax Penalties?

New data from the Urban Institute's Health Reform Monitoring Survey show that few people who are uninsured and thus facing tax penalties are aware of the requirement to report insurance coverage status on their taxes. As of March 29, only 36,000 people had taken advantage of the extended insurance enrollment period, which runs through April 30.    

April 13, 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.

Additional Data to Explore

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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:

What Common Issues Do Consumers Face Regarding Health Insurance?

A new report identifies trends in the health insurance assistance needs of consumers during three distinct periods: before passage of the Affordable Care Act (ACA), during the ACA’s implementation, and post-ACA.  

April 10, 2015

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How Much Will the U.S. Spend on Health Care from 2014 - 2019?

A new report looks at the revised projections on U.S. health care spending, which have been lowered by $2.5 trillion since forecasts made immediately following the passage of the Affordable Care Act (ACA). The major factor is historically low growth in health care spending since the recession, but the authors note the ACA has also played a role. 

April 8, 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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