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Assessing State Progress

How States are Implementing the ACA

How States are Implementing the ACA

Implementing the Affordable Care Act is posing complex challenges for some states, while others view the ACA as providing a timeline for changes they were already planning. Learn how Virginia, Minnesota, Colorado, Oregon, and Maryland are making progress, and view other resources for states.

View the reports

Understanding the ACA

Expand Your Affordable Care Act Vocabulary

Expand Your Affordable Care Act Vocabulary

Although ACA implementation efforts are already under way, many Americans are still unclear about what the individual reforms mean—and more importantly, how the reforms will impact them. RWJF's video series clarifies some common terms of ACA implementation.

View the video

Options for States

Health Insurance Exchanges

Health Insurance Exchanges

In 2014, it’s estimated that 12 million Americans—most with federal subsidies—will access their health coverage through exchanges. By 2019, that number is expected to grow to 28 million. This report explores three ways that states can comply with the Affordable Care Act requirement of establishing health insurance exchanges.

Read the report

Reform in Action

Equity in the Context of Health Reform

Equity in the Context of Health Reform

A number of provisions in 2010’s Affordable Care Act (ACA) directly address the goal of reducing disparities in health and health care among minority populations. Increasing access to health coverage will have a significant effect. More than half of the 46 million people who are currently uninsured are minorities.

Read the report

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The ACA and the Health Care Safety Net

The ACA and the Health Care Safety Net

How will the reforms of the Affordable Care Act affect the health care safety net? As the ACA takes shape, it will place new and different pressures on health care institutions that provide free or low-cost care. RWJF Scholars chart opportunities and problems, and pose solutions for protecting the health care institutions that serve the most vulnerable.

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Community Benefits

Partnerships for Community Health Improvement

Partnerships for Community Health Improvement

The ACA requires nonprofit hospitals to conduct community health needs assessments and create implementation strategies to address those needs. This issue brief describes how several hospitals have collaborated with local community or health agencies to improve health in their communities.

Read the issue brief

Navigating Implementation of the Affordable Care Act

The Affordable Care Act (ACA), when fully implemented, will expand the number of people with health coverage, introduce strategies for improving the quality of health care, and support plans to make our communities healthier places.

For those reasons, the Robert Wood Johnson Foundation has committed significant resources to help nonprofit organizations, states, communities, and the private sector realize the full potential of the law.

Stay up to date on progress with reports from the Urban Institute, which is undertaking a comprehensive monitoring and tracking project to examine the implementation process and effects of the ACA in 10 states.

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Medicaid Expansion Analysis for States

States are facing difficult implementation decisions regarding the Medicaid expansion under the ACA. This report serves as a guide for states considering their own expansion analysis.

Visit the report

Health Reform GPS

Find the latest developments, implementation briefs, and a glossary of terms at the Health Reform GPS site, a project of the George Washington University Hirsh Health Law and Policy Program and RWJF.

View the website

IT and Health Reform

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How Are States Building the Technology to Support Health Care Reform?

To successfully implement health reform, states will need to develop information technology (IT) systems that securely provide consumers with answers about their eligibility for public health insurance benefits or tax subsidies, and enhance their ability to enroll in health insurance coverage.

Read the report

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  • Affordable Care Act (ACA)
  • Coverage
  • Health Care System
  • Health Reform
  • Insurance Coverage
  • Medicaid

How Will the Affordable Care Act Affect You?

  • These issue briefs examine how the Patient Protection and Affordable Care Act of 2010 is likely to affect different groups of Americans.

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    Uninsured Adults

    The approximately 15.1 million uninsured adults who could gain coverage under the ACA Medicaid expansion are a diverse group in terms of their age and race/ethnicity.

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    Uninsured Veterans

    This report is the first-ever to provide estimates of uninsurance among veterans and their families both nationally and at the state level, and to assess the potential for the ACA to reduce their uninsurance rates.

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    Lowest Coverage

    Implementation of the ACA would result in the greatest gains of coverage among residents in regions with the lowest coverage rates in 2010—the South and the West of the United States.

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    Physicians

    Some physicians will benefit financially as coverage expands, and some will be unaffected, but virtually none will be disadvantaged.

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    Employers

    Researchers examined whether health reform in Massachusetts led to job loss, and found no indication of negative economic consequences relative to other states.

More on the Affordable Care Act (ACA)

Blog Post

The Affordable Care Act and Physician Supply

A report completed this month examines how the Affordable Care Act will affect the nation’s supply of physicians.

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Blog Post

Q&A with Freelancers Union's Sara Horowitz on Modernizing Health Insurance

Q&A with Freelancers Union's Sara Horowitz on Modernizing Health Insurance

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Issue Brief

Consumer Protections in ACA

Consumer protections and market reforms designed to end certain insurer practices and address barriers to health care coverage, quality and ...

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Issue Brief

Creating Exchanges

A major component of the Affordable Care Act (ACA) is the creation of state-based health insurance exchanges—online marketplaces where consu...

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Issue Brief

Links to Adequate Care

People without health insurance live sicker lives and often die sooner than those with insurance.

Read more

Issue Brief

Maximizing Enrollment

States will play a vital role in the success of federal health reform by enrolling residents in public health insurance programs.

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Issue Brief

State Exchanges and Medicaid

By fully integrating Medicaid with their health insurance exchanges, states can reap numerous cost efficiencies in administration, enrollmen...

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Program Result

Training Opportunities and Credentialing for Community Health Workers

SkillWorks, a Boston-Based collaborative created a workforce partnership to increase career advancement and training opportunities for commu...

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Program Result

How Much Can Lower-Income Americans Pay for Health Insurance?

Researchers at Columbia University conducted surveys of the general public and of social services experts to collect information to help pol...

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Commentary

My Care

Senior Vice President John Lumpkin summarizes the Affordable Care Act from a very personal perspective.

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Book

RWJF Provides States With Resources to Expand Coverage

Coverage gains from Affordable Care Act depend on states' efforts.

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Issue Brief

Overview of Final Exchange Regulations

The State Network summarizes key provisions in the Patient Protection and Affordable Care Act (ACA) final rule, which represents the most si...

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