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Featured Research 

Measuring Marketplace Enrollment Relative to Enrollment Projections
Linda J. Blumberg, Genevieve M. Kenney, Matthew Buettgens, John Holahan, Nathaniel Anderson, Hannah RechtStephen Zuckerman


This brief compares Affordable Care Act Marketplace enrollment as of March 1, 2014 (the most recent state-specific data) to projected enrollment for 2014 and 2016 and estimates of the number of people eligible for subsidies. Nationally, by March 1, the Marketplaces had enrolled 61 percent of projected 2014 enrollment of subsidized and unsubsidized individuals. They had enrolled 63 percent of the subsidized population expected to enroll in 2014. Collectively, State-Based Marketplaces (SBMs) have been more successful in reaching projected enrollment than the Federally Facilitated Marketplaces (FFMs), with SBMs overall also having significantly higher rates of subsidized enrollment than FFMs. Read more

woman looking at insurance docs_108How Many Nongroup Policies Were Canceled? Estimates from December 2013
Lisa Clemans-Cope, Nathaniel Anderson
 
In fall 2013, media reported consumer discontent over "cancellation" notices of health insurance policies not meeting new minimum standards under the Affordable Care Act (ACA), but it's difficult to determine exactly how many were affected.  Findings from the December 2013 Health Reform Monitoring Survey (HRMS) show that nearly 1 in 5 (18.6 percent) with nongroup health insurance at the time of the survey report the plan they had in 2013 will no longer be offered to them because it did not meet the ACA's standards.  Over half are likely to be eligible for coverage assistance under the ACA. Read more
   
The Lstethoscope on mapaunch of Health Reform in Eight States: State Flexibility Is Leading to Very Different Outcomes

This series of briefs examines the early ACA implementation efforts and experiences of eight states (Alabama, Colorado, Maryland, Michigan, Minnesota, New York, Oregon, and Virginia) spanning the broad spectrum of approaches and design choices allowed under the law.  The basic conclusion of the series of papers is that the effects of the ACA, because of the considerable state flexibility in the law, vary significantly among states once implemented; it is definitely not "one size fits all."

Overview of the series
Coverage expansion and uninsurance
The financial impact on states
Eligibility and enrollment systems
Outreach, education, and enrollment assistance
Insurer participation, competition, and premiums
Reforming insurance markets and protecting consumers
Small group Marketplaces
The problem of provider capacity 

Taxform_smallTax Preparers Could Help Most Uninsured Get Covered
Stan Dorn, Matthew Buettgens, Jay Dev

More than 74% of uninsured consumers who qualify for ACA health coverage file federal income tax returns. This includes over 90% of consumers under age 35 who qualify for subsidies in health insurance marketplaces.  Most low-income taxpayers use tax preparers, including 64.6% of EITC claimants, more than 78% of whom file by March 31, the final day of open enrollment. State and federal officials and private leaders concerned about ACA enrollment should seriously explore partnering with commercial and nonprofit tax preparers to reach the eligible uninsured and move towards a healthy, balanced risk pool. Read more

 

 

Immediate Issues
The Urban Institute has launched a powerful new research tool, the Health Reform Monitoring Survey (HRMS), to provide timely insights into the Affordable Care Act. From coverage to access to affordability, the HRMS delivers critical data before federal government surveys are available. Read more

Immediate Issues
The Urban Institute is undertaking a comprehensive monitoring and tracking project to examine the implementation and effects of the ACA in ten states. Derived from extensive interviews with state officials and health care stakeholders, this series of reports documents each state’s progress in establishing a health insurance marketplace, implementing insurance reforms, and preparing for an expansion of Medicaid. Read more

New interactive map shows wide local variation in numbers of poor uninsured Americans who would be eligible for Medicaid under the ACA

mapState plans for expanding Medicaid under the ACA

 
Immediate Issues
The reforms implemented in Massachusetts in 2006 became the template for the Affordable Care Act. The Urban Institute has conducted numerous studies of Massachusetts' ambitious effort to transform its health care system. Read more

Health Reform Modeling Capacity

The UI Health Policy Center staff has developed a sophisticated microsimulation model that is used to estimate the impacts of health reforms and to inform policy design choices at the state and national levels.  Learn more about the HIPSM model.
 
All HPC Research
 
Placing Diagnosis Errors on the Policy Agenda (Policy Briefs/Timely Analysis of Health Policy Issues)
Robert A. Berenson, Divvy Upadhyay, Deborah R. Kaye
Publication Date: April 24, 2014
 


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