Payment Methods and Benefit Designs

All payment methods have strengths and weaknesses, and how they affect the behavior of health care providers depends on their operational design features and how they interact with benefit design.

CHIPRA Quality Demonstration Evaluation

The Children's Health Insurance Program Reauthorization Act of 2009 included $100 million in grants for demonstration projects to improve the quality of children's health care. The Urban Institute was part of the team of researchers that conducted the federal evaluation of these projects.

Health Care Stewardship Case Studies

In early 2015, Urban conducted case studies examining health care stewardship in five states. Through interviews, we examined the unique ways each of the five states—Colorado, Minnesota, Ohio, Oregon, and Vermont—has leveraged its authority to improve the quality and efficiency of the state’s health care system.

Tracking Progress on Health Insurance Marketplace Enrollment

By the end of the 2014 open enrollment period, about 8 million people had chosen plans in the newly established health insurance marketplaces. As of April 8, 2015, 11.7 million had selected plans during the second annual open enrollment, an increase of 46 percent. This page contains data on subsidized and unsubsidized plan selections for each state and will continue to be updated with the latest enrollment figures as they are released.

What Lies Ahead for Children's Health Coverage?

New interactive tool shows impact of changes to children’s eligibility for Medicaid and the Children’s Health Insurance Program and federal subsidies for marketplace coverage

Health Care Reform in Massachusetts

The reforms implemented in Massachusetts in 2006 became the template for ACA. The Urban Institute conducted numerous studies of Massachusetts's ambitious effort to transform its health care system.

Health Reform Modeling Capacity 

The Health Insurance Policy Simulation Model (HIPSM) is a sophisticated microsimulation model that is used to estimate the impacts of health reforms and to inform state and national policy design choices. HIPSM has been used to assist with ACA implementation and analysis of policy options under the ACA.

Health Reform Monitoring Survey

A powerful new research tool, the Health Reform Monitoring Survey (HRMS) provides timely insights into the Affordable Care Act. From coverage to access to affordability, the HRMS delivers critical data before federal government surveys are available.

Interactive Map: Poor uninsured Americans eligible for Medicaid under ACA expansion

There is wide local variation in the numbers of poor uninsured Americans who would be eligible for Medicaid if states opt for ACA expansion.

States and the Affordable Care Act 

This comprehensive monitoring and tracking project examines the implementation and effects of the ACA in 10 states. Derived from extensive interviews with state officials and health care stakeholders, the accompanying reports document each state’s progress in establishing a health insurance marketplace, implementing insurance reforms, and preparing for Medicaid expansion.