Health Reform


The Affordable Care Act and the VA

Understanding the impact of health care reform on the Department of Veterans Affairs

The Affordable Care Act (ACA) put in place comprehensive reforms that improve access to affordable health care, provide coverage choices for all Americans – guaranteeing access to care for vulnerable and special populations and mechanisms to bring down costs and improve quality of care.

The ACA will change the nation’s health care landscape and the way services are delivered for all Americans. These changes may also impact the federal health care system such as the Department of Veterans Affairs (VA). The Lewin Group assisted VA to understand the potential implications of ACA on VA. The analysis included examining ACA implications on Veterans enrollment, effects of ACA on supply/demand of VA health care professionals, effects of the ACA health insurance mandate and Medicaid eligibility provisions on enrollment and utilization. Our analysis provided VA with important insights on the potential impact on veterans, VA, and the delivery of VA health care services.

For more than 25 years, The Lewin Group has helped our clients develop options for expanding health insurance coverage and reforming health care financing and delivery systems.

We help our clients develop options for expanding health care coverage that vary from incremental approaches through comprehensive health reform and include Medicaid eligibility expansions, tax credits for private insurance, insurance market reforms, employer contribution requirements, universal coverage through private health insurance, and single-payer programs. Using The Lewin Group Health Benefits Simulation Model (HBSM), a micro-simulation model of the U.S. health care system that is built upon a representative sample of households from the Medical Expenditures Panel Survey (MEPS) data, we estimate the changes in coverage sources under these proposals as well as the cost impacts of these options on key stakeholder groups

We work with our clients to specify, analyze, and refine their health care reform proposals to meet their unique coverage expansion and budget objectives. Using data-driven research, we model the effect of changes in the health care delivery system on costs for governments, employers, and households and simulate the effect of system reforms on long-term cost growth. 

Webinar Programs

The Lewin Group consistently updates our analysis of health reform proposals being considered in Congress.  You can gain access to some of our insights on the potential cost and coverage impacts of these efforts by downloading our reports, or by attending or viewing a previously recorded webinar. 

To download presentations or view recorded Health Reform webinars, click here.


We work with state and federal government agencies, national associations, foundations, and others to develop and refine their health care reform policies and analyze the cost and coverage impact of their health care reform policies.

Policy Development

  • Design, develop, and analyze health care reform proposals
  • Develop health reform options
  • Help refine health care reform plans to meet coverage and budget objectives

Cost Containment Initiatives

  • Analyze initiatives to manage chronic care
  • Examine the impacts of consumer-directed initiatives to reduce utilization
  • Evaluate effects of incentives to influence provider behavior
  • Assess regulatory policy

 Cost and Coverage Analysis

  • Estimate cost and coverage impacts of health care reform plans
  • Analyze the number of people with access to insurance coverage and the number of individuals who are uninsured
  • Determine the cost of insurance coverage to individuals
  • Determine the cost of insurance coverage to various stakeholder groups


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"Throughout the engagement, Lewin consultants listened to us and delivered superb analyses and thoughtful guidance–not canned solutions."  NONPROFIT HEALTH SYSTEM