Health Coverage Research


Since January 20, 2017, ASPE has been developing research that analyzes the impact of Obamacare (the Affordable Care Act) and models changes that will  create a market that lowers costs, increases quality, and gives more choices than Obamacare does.

  • Health Plan Choice and Premiums in the 2019 Federal Health Insurance Exchange
    This brief presents information on qualified health plans (QHPs) available in the Exchange for states that use the platform, including estimates for issuer participation, health plan options, premiums, and subsidies in the upcoming open enrollment period (OEP), and trends since the first OEP. National estimates and summary tables are presented in each section of the text.

  • Health Plan Choice and Premiums in the 2018 Federal Health Insurance Exchange
    This issue brief presents analysis of Qualified Health Plan (QHP) data in the individual market Exchanges for plan year 2018 for states that use the platform.  It examines issuer participation, plan options and premiums for individuals enrolling in coverage through the Exchanges.

  • Draft ASPE Analysis of the Consumer Freedom Amendment
    The Department of Health and Human Services provides technical assistance on an ongoing basis to members of Congress during the legislative development process. This analysis, marked as “preliminary draft” was provided as technical assistance in response to an inquiry specifically related to the Consumer Freedom Amendment. The purpose of this analysis was to examine the potential impact of ACA and non-ACA plans, and a single or dual risk pool structure, as described by the Consumer Freedom Amendment on consumer behavior. It was performed by an HHS contractor on an accelerated timeline, and, given the narrow scope of the analysis, made a number of simplifying assumptions in the interest of time.

An unchanged ACA baseline is included for comparison purposes. It assumes a static individual market population, adequate issuer and consumer participation in a competitive insurance market, and assumes all states permit the sale of non-ACA plans alongside ACA plans (without state-specific requirements of issuers to make non-ACA plans more like ACA plans). The model assumes one plan design, though a number of benefit designs and actuarial values would likely be offered by issuers under the amendment.

For the sake of transparency and due to the interest in this proposal, HHS is publicly releasing this preliminary draft and the underlying assumptions contained therein.

  • Individual Market Premium Changes This ASPE Data Point analyzes premium  increases from two data series, comparing premium costs in individual market plans  purchased by consumers in 2013 to exchange plans purchased in 2017 in order to better  determine how much premiums have increased since the ACA’s key provisions have  taken effect.