A collection of reports that examine trends and issues related to implementing the broad market reforms outlined in the Affordable Care Act.


About This Series

The Urban Institute has undertaken a comprehensive monitoring and tracking project to analyze national trends among the different groups targeted by Affordable Care Act (ACA) coverage expansions, as well as state-level implementation issues. This series includes quantitative reports examining national trends and state-level reports which analyze implementation progress and issues in Colorado, Maryland, Minnesota, New Mexico, New York, Oregon, Rhode Island, and Virginia.

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The Widespread Slowdown in Health Spending Growth

April 8, 2015 | Report

Researchers provide an in-depth analysis of the most recent health care spending projection for 2014–2019 and the reasons why the current spending projection is significantly lower than the one made immediately after the ACA was passed.


Special Enrollment Periods in 2014

February 23, 2015 | Issue Brief

Research explores how states operating their own health insurance marketplaces handled special enrollment periods (SEPs) last year, and provides best practices for the future.


Insurance Brokers and the ACA

February 2, 2015 | Issue Brief

The many obstacles insurance brokers encountered during the first year of enrolling individuals in health insurance marketplace plans—and six changes that could help people overcome challenges and get insurance.


A Comprehensive Look to Date at Insurance Marketplace Premium Costs

December 4, 2014 | Issue Brief

Research from the Urban Institute provides the most comprehensive look to date at insurance marketplace premium costs for 2015 versus 2014, with premium rates in multiple regions that have finalized marketplace premiums for 2015.

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