HPIO research and analysis addresses how access to care is necessary for improving overall health.
Policy explainer: Federal health policy impact on Ohio
HR 1, the federal reconciliation bill, includes provisions that will have major impacts on Medicaid financing in Ohio. Policymakers will need to make important decisions to mitigate funding cuts.
Data snapshot
An update on Ohio enrollment in the federal ACA marketplace following the expiration of enhanced subsidies.
Policy update
This policy update explains the HR 1 provision that mandates that all states establish work requirements for Medicaid expansion eligibility by Jan. 1, 2027.
This publication outlines the most influential laws enacted in Ohio and the U.S. related to mental health insurance benefits and mental health parity between 1990 and 2025.
Data snapshot
This data snapshot provides an overview of Ohio Medicaid spending on home- and community-based services, which have been a specific area of focus in recent legislative discussions
Addressing social determinants of health through Medicaid:
This report highlights findings from three states that have covered housing and nutrition services through Medicaid.
Policy explainer: Federal health policy impact on Ohio
HR 1, the federal reconciliation bill, includes provisions that will have major impacts on Medicaid financing in Ohio. Policymakers will need to make important decisions to mitigate funding cuts.
Policy explainer: Federal health policy impact on Ohio
On Dec. 29, 2025, CMS announced total first-year Rural Health Transformation Program awards. According to HPIO’s analysis, Ohio was awarded the 46th-most funding per rural resident.
Policy explainer
A 4-page policy explainer on recent changes to the ACA health insurance marketplace and the potential impacts on the nearly 600,000 Ohioans who get their health coverage there.
Healthcare access and affordability in Ohio series
This policy explainer details Medicaid work requirements recently established by federal law and how they compare to work requirements in a 1115 waiver proposal submitted by Ohio policymakers
Healthcare access and affordability in Ohio series
This HPIO data snapshot gives an overview of the demographics of immigrants in Ohio, factors that hinder healthcare access, Medicaid eligibility and potential impacts of recent federal policy change
Healthcare access and affordability in Ohio series
In light of coming policy changes, this brief presents current data on the cost of basic needs for working Ohioans, access to adequate health insurance and the cost of health care for Ohio families.
Healthcare access and affordability in Ohio series
There are many provisions in HR 1 that will have significant impacts on Ohio Medicaid and Ohioans with Medicaid coverage.
A comprehensive, data-driven study to describe how the expansion of Medicaid in 2014 impacted coverage, access and affordability and it estimates the future impacts of discontinuing coverage.
2025 OHIO MEDICAID EXPANSION STUDY
The Health Policy Institute of Ohio commissioned Regional Economic Models, Inc. (REMI) to analyze the state-level and regional economic and fiscal impacts of reversing Medicaid expansion in Ohio.
2025 OHIO MEDICAID EXPANSION STUDY
This policy brief describes the role of Medicaid in improving health coverage and the costs of care for Ohioans with lower incomes.
2025 OHIO MEDICAID EXPANSION STUDY
This brief analyzes the likely state budget effects of eliminating Medicaid expansion.
2025 OHIO MEDICAID EXPANSION STUDY
This policy brief describes the role of Medicaid expansion in improving the health and well-being of parents, caregivers and their children.
2025 OHIO MEDICAID EXPANSION STUDY
This brief describes the role of Medicaid as a funder of mental health and substance use disorder services and highlights considerations if Medicaid expansion coverage were eliminated.
State policy roadmap
Policy Considerations
This publication provides data and information on the current status of Medicaid expansion in Ohio and includes a series of policy considerations for state and federal leaders to consider.
Published every other year since 2005, to coincide with the biennial budget process, the 11th edition of HPIO's Ohio Medicaid Basics provides an overview of the Ohio Medicaid program.
Policy Spotlight
Offering healthcare services to kids in schools is a worthy investment, with the potential to improve future health and education outcomes.
Ohio Medicaid Basics Update
This publication provides an overview of the Medicaid program in Ohio, including information on Medicaid eligibility, covered services, delivery systems,...
HPIO’s fifth edition of the Health Value Dashboard is a tool to track Ohio’s progress toward improved health value Download...
Ohio Medicaid Basics Update:
Since the COVID-19 pandemic began in March 2020, enrollment in, spending on and federal funding for Ohio Medicaid have increased significantly. Drawing from the foundational information provided...
This publication provides an overview of the Medicaid program in Ohio, including information on Medicaid eligibility, covered services, delivery systems, financing, spending and recent policy and...
The Health Policy Institute of Ohio Health Value Dashboard is a tool to track Ohio’s progress toward health value
The Health Policy Institute of Ohio’s Health Value Dashboard is a tool to track Ohio’s progress towards health value.
The Centers for Medicare and Medicaid Services (CMS) is encouraging states to test work requirements as a strategy for improving the health of working-age, non-pregnant adult beneficiaries
The brief is an update to HPIO’s biennial publication, Ohio Medicaid Basics 2017.
Private Health Insurance Basics 2017 Update:
Click here to download brief The Health Policy Institute of Ohio released its latest edition of Private Health Insurance Basics as a...
Download the brief (pdf) On May 4, 2017, the U.S. House of Representatives passed the American Health Care Act (AHCA)...
Released to coincide with the state biennial budget, Ohio Medicaid Basics is a foundational summary of the state-federal program.
This series of fact sheets gives policymakers and other stakeholders a better understanding of private health insurance in Ohio.
Ohio and the ACA:
Download publication After two years of new private health insurance coverage options and eligibility under the ACA, Ohio’s marketplace enrollment...
State-Level Field Network study of the Implementation of the Affordable Care Act
State-Level Field Network study of the Implementation of the Affordable Care Act Download publication The Health Policy Institute of Ohio produced...
Download publication Updated every two years to coincide with the state biennium budget, Ohio Medicaid Basics provides an expansive overview...
Annual Medicaid redeterminations resumed in Ohio in 2015 after a year-long suspension while the state implemented a new eligibility...
This policy brief provides information about the Medicaid redetermination and renewal process in Ohio.
The HPIO Health Value Dashboard™, the first-of-its-kind combined state ranking of health outcomes and healthcare costs, shows that Ohio’s health value rank is 47.
A follow-up to the 2013 Medicaid Expansion Study, this policy brief examines enrollment trends after the first year of Medicaid expansion, including analysis of enrollment in all Ohio counties.
The second part of HPIO’s two-part series of briefs on Ohioans with disabilities. This brief explores how people with disabilities face complex challenges to achieving optimal health and well-being.
In this paper, consumer assistance programs are defined as those which train or certify individuals and/or organizations to assist consumers with enrolling in the marketplace.
The first in the Health Policy Institute of Ohio’s two-part analysis of health and disability.
A fact sheet (pdf, 2 pages) reviewing policy changes in the Affordable Care Act to the small group market, with a specific focus on the ACA’s creation of a special annual open enrollment period
A policy brief (pdf, 8 pages) that explores how health insurance marketplaces will operate in Ohio and describes the Qualified Health Plans (QHPs) that will be offered in the marketplaces.
A fact sheet (pdf, 2 pages) examining the impact of Medicaid expansion on Ohioans earning less than 100 percent of the federal poverty level (FPL).
A two-page fact sheet (pdf) with information on trends in employer-sponsored health coverage in Ohio, health premiums and employer share of costs.
The updated edition (pdf, 20 pages) of HPIO’s biennial overview of Ohio Medicaid, including eligibility, enrollment and financing.
A policy brief (pdf, 12 pages) detailing the county-level impact of a potential Medicaid expansion.
A policy brief (pdf, 24 pages) that summarizes the results of an independent analysis of potential Medicaid expansion in Ohio.
Preliminary results of an independent analysis of potential Medicaid expansion in Ohio.
A policy brief (pdf, 8 pages) that updates Ohio’s options for planning for health insurance exchanges under the ACA in 2014.
A policy brief (pdf, 18 pages) that examines access to health insurance in Ohio, with sections on how Ohioans are covered, health insurance regulation, plan design, and regulatory changes.
A policy brief (pdf, 28 pages) that provides an overview of access to health care in Ohio.
A policy brief (pdf, 6 pages) that outlines Ohio’s options for setting standards for “essential health benefits” that small-group and individual insurance plans will have to offer starting in 2014.
A policy brief (pdf, 8 pages) summarizing the U.S. Supreme Court’s ruling on the constitutionality of the Affordable Care Act, with analysis of state options for expanding Medicaid coverage.
A policy brief (pdf, 6 pages) summarizing the Governor’s Office of Health Transformation’s “Medicaid Eligibility Modernization Project.”
A policy brief (pdf, 8 pages) that summarizes major provisions of the “exchange establishment and functions” final rule released by the federal Department of Health and Human Services (HHS).
A brief outlining stakeholder considerations of the federal Department of Health and Human Services (HHS) exchange establishment and eligibility final rule and Medicaid final rules.
Modeled after HPIO’s Ohio Medicaid Basics publication, Health Data Transparency Basics provides an overview of the availability...
An update to our May 2011 publication on the Medicare Shared Savings Program, with a summary of the final rules adopted by the Department of Health and Human Services.
An HPIO policy brief (pdf, 8 pages) that summarizes select key findings from the Ohio Department of Insurance’s analysis of the Affordable Care Act’s impact on Ohio consumers and businesses.
An HPIO policy brief (pdf, 12 pages) that outlines key choices Ohio will have to make on health insurance exchanges, what other states are doing, and summarizes the proposed rules on exchanges.
The 2011 edition of HPIO’s biannual overview of Ohio Medicaid, including eligibility, enrollment and financing. A four-page executive summary also is available.\r\n\r\n
A policy brief (and accompanying primer) on Accountable Care Organizations.
Ohio's proposed 2026-2027 biennial state budget would discontinue Medicaid expansion if the enhanced FMAP drops below 90%.
HPIO has developed a series of publications to explore health care affordability challenges facing Ohioans.
HPIO analysis of recent federal policy changes and details about how policymakers in the state will need to account for these developments
Meeting the moment: Using data for policy progress
Overview of recent Medicaid policy and budget changes how and they may affect service capacity, access and affordability in the coming years.
An update on recent policy changes, and information from local service providers about the access and affordability challenges Ohioans are facing
September 11, 2026
New behavioral health crisis centers are opening across Ohio, in part because of $90 million in COVID-relief fund spending. But some facilities are struggling with staffing challenges and other barriers to care created by federal policy changes.
September 04, 2026
Healthcare spending isn’t just skyrocketing for U.S. companies. It’s also getting more difficult to predict, complicating efforts to keep cost growth in hand, according to new research
August 28, 2026
President Donald Trump’s pledge to make new but pricey weight-loss drugs widely available for low-income Americans isn’t panning out as planned
