Health Reform: By The Numbers

A source for timely and unique data about the impact of national health reform.

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Reform by the Numbers provides timely data and insights into key issues related to Affordable Care Act (ACA) coverage expansion and ACA implementation and impact.

The collection includes research and analysis supported by the Robert Wood Johnson Foundation from organizations including Altarum Center on Sustainable Health Spending, Georgetown University Health Policy Institute, Leonard Davis Institute of Health Economics, Mathematica Policy Research, State Health Data Access Assistance Center, State Health Reform Assistance Network, and the Urban Institute. It also includes regular commentary on health reform implementation and national health spending by Katherine Hempstead, a senior adviser for RWJF programs focused on health coverage and health care price transparency and value.

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Why Does Medicare Advantage Work Better Than Marketplaces?

January 30, 2018 | Brief

Urban Institute researchers find that Medicare Advantage markets are substantially more robust, with higher private insurer participation and lower average premium growth, than traditional marketplaces.


Medicaid Coverage: Buy-In Option

January 22, 2018 | Brief

The Urban Institute analyzes legislation introduced in the Senate that would create a mechanism for states to offer their residents the opportunity to buy a Medicaid-based public insurance option.


Marketplace Pulse: Mixed Harvest

January 3, 2018 | Report

With no individual mandate and expanded non-comprehensive coverage, the divisions between states will deepen, and market conditions will deteriorate for unsubsidized farmers and others seeking coverage in states that don’t protect their risk pool.


Medicare's Evolving Approach to Paying for Primary Care

December 6, 2017 | Brief

Urban Institute brief reports relatively few physicians go into primary care in the U.S. partly because of large disparities in the salaries of primary care physicians and specialists.


Marketplace Pulse: The Unsubsidized Will Always Be With Us

November 27, 2017 | Brief

Understanding the premium increases for individual market plans presents more complications than usual in 2017 because of the ways that states and carriers approached the last-minute suspension of the cost-sharing reduction (CSR) subsidies.

Featured Data Resources

HIX Compare

The Health Insurance Exchange Comparison (known as HIX Compare) provides nationally comprehensive raw data and overviews on all plans offered in the health insurance marketplaces across all 50 states.

Browse the HIX Compare website

Health Reform Monitoring Survey

The  Health Reform Monitoring Survey (HRMS) is a quarterly household survey tracking a variety of health and health care factors, resulting in information on implementation issues under the Affordable Care Act, changes in health insurance coverage and related health outcomes.

Browse the HRMS website

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