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 woman dials on her phone as she looks at her Personal Health Record.

How Many People Re-Enrolled in Marketplace Plans?

A new study finds states re-enrolled a high number of consumers in marketplace plans. The research, conducted by Georgetown University’s Health Policy Institute, uses enrollment data and stakeholder interviews to identify the challenges, successes, and lessons learned from year two re-enrollment in six states—California, Colorado, Kentucky, Maryland, Rhode Island, and Washington.

July 28, 2015

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Doctors go over a patient's charts in the emergency room.

Is the U.S. Health Care System Tilting to Favor Primary Care?

Using newly released data, Kathy Hempstead considers whether recent trends in increased payments by insurers to primary care physicians signals a shift in the U.S. health care system to a system that prioritizes routine primary care compared to care from specialists, which is generally more expensive. The data show that between 2013 and 2014 payments by private insurers to primary care physicians increased by 3.5 percent, while payments to surgeons and orthopedists actually declined.  

July 7, 2015

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Nurse taking notes

What Caused the Surge in Q1 2015 Health Care Services Spending?

New commentary by Kathy Hempstead examines recent Altarum Center for Sustainable Health Spending health trend data on the annual rate of growth in health services spending, seeing a big jump in Q1 2015. Kathy finds this particularly notable in the face of persistently low health care service prices, suggesting that utilization is driving the trend. Spending on insurance grew nearly 10 percent in the first quarter of 2015, compared to just 8 percent in all of 2014.  

June 30, 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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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.

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Which Insurers Are Keeping Premiums Low-Cost in Marketplace Plans?

A new issue brief by the Urban Institute lends insight into which types of insurers are keeping premiums for marketplace plans aggressively low in order to attract customers and remain competitive. Drawing on a wide array of plan data comparing the premium prices of the lowest cost silver plan—the most popular of marketplace options—by insurer across 30 states for 2014 and 2015, the report finds that many Blue Cross Blue Shield insurers have kept premiums comparatively low with small increases from year to year.

June 29, 2015

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What's the Skinny on Narrow Networks in Health Insurance Marketplace Plans?

A new issue brief by the Leonard Davis Institute of Health Economics examines narrow networks in health insurance marketplace plans. Insurers can use narrow networks to lower premiums, but consumers have little information on the tradeoff between lower premiums and network size, and the potential financial burden of out-of-network care. Using provider directories from marketplace-based insurance networks, the authors found that 41 percent of silver plan physician networks can be classified as narrow, meaning that fewer than 25 percent of area physicians are covered.

June 23, 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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