Health Reform Monitoring Survey, United States, Third Quarter 2016

Resource Type
Dataset : survey data
  • Holahan, John
  • Long, Sharon K.
Other Title
  • Archival Version (Subtitle)
Collective Title
  • Health Reform Monitoring Survey (HRMS) Series
Publication Date
Publication Place
Ann Arbor, Michigan
  • Inter-University Consortium for Political and Social Research
Funding Reference
  • Robert Wood Johnson Foundation
Free Keywords
Schema: ICPSR
Affordable Care Act; health; health care access; health care costs; health care reform; health care services; health insurance; literacy; neighborhood characteristics
  • Abstract

    In January 2013, the Urban Institute launched the Health Reform Monitoring Survey (HRMS), a survey of the nonelderly population, to explore the value of cutting-edge, Internet-based survey methods to monitor the Affordable Care Act (ACA) before data from federal government surveys are available. Topics covered by the 12th round of the survey (third quarter 2016) include self-reported health status, type of health insurance coverage, access to and use of health care, out-of-pocket health care costs, health care affordability, health insurance literacy, feelings of unfair treatment by doctors and other health care providers, experience with health insurance marketplaces, awareness of ACA provisions, and rating of neighborhood characteristics. Demographic information collected by the survey includes age, gender, sexual orientation, marital status, education, race, Hispanic origin, United States citizenship, housing type, home ownership, internet access, income, employment status, employer size, body mass index, and whether the respondent reported an ambulatory care sensitive condition or a mental or behavioral condition.
  • Abstract

    The survey provides information on health insurance coverage, access to and use of health care, health care affordability, and self-reported health status, as well as timely data on important implementation issues under the ACA.
  • Methods

    The HRMS provides data on health insurance coverage, access to and use of health care, health care affordability, and self-reported health status. Beginning in the second quarter of 2013, each round of the HRMS also contains topical questions focusing on timely ACA policy issues. In the first quarter of 2015, the HRMS shifted from a quarterly fielding schedule to a semiannual schedule.
  • Methods

    The variables include original survey questions, household demographic profile data, and constructed variables which can be used to link panel members who participated in multiple rounds.
  • Methods

    ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection: Created online analysis version with question text.; Checked for undocumented or out-of-range codes..
  • Methods

    Response Rates: The HRMS response rate is roughly five percent each round.
  • Abstract


    • DS0: Study-Level Files
    • DS1: Public-Use Data
    • DS2: Restricted-Use Data
Temporal Coverage
  • Time period: 2016-09--2016-11
  • 2016-09 / 2016-11
  • Collection date: 2016-09--2016-11
  • 2016-09 / 2016-11
Geographic Coverage
  • United States
Sampled Universe
Household population aged 18-64
For each HRMS round a stratified random sample of adults ages 18-64 is drawn from the KnowledgePanel, a probability-based, nationally represented Internet panel maintained by GfK Custom Research. The approximately 55,000 adults in the panel include households with and without Internet access. Panel members are recruited from an address-based sample frame derived from the United States Postal Service Delivery Sequence File, which covers 97 percent of United States households. The HRMS sample includes a random sample of approximately 7,500 nonelderly adults per quarter, including oversamples of adults with family incomes at or below 138 percent of the federal poverty line. Additional funders have supported oversamples of adults from individual states or subgroups of interest. However, the data file only includes data for adults in the general national sample and the income oversample. Beginning in the first quarter of 2015, the HRMS shifted from a quarterly fielding schedule to a semiannual schedule.
Collection Mode
  • web-based survey
2019-06-27 Removed variable Q7_F and CASEID from the public dataset, updated labels for series consistency, updated documentation and study title. Reordered demographic variables for series consistency.2018-05-16 The update includes the new LGBT_NEW variable, which addresses changes to the coding for a variable on gender identity. The collection is being made available as Public and Restricted use. Funding institution(s): Robert Wood Johnson Foundation (73563).
One or more files in this study are not available for download due to special restrictions; consult the study documentation to learn more on how to obtain the data.
Alternative Identifiers
  • 36842 (Type: ICPSR Study Number)
  • Is previous version of
    DOI: 10.3886/ICPSR36842.v1
  • Chen, Weiwei, Page, Timothy F.. Impact of health plan deductibles and health insurance marketplace enrollment on health care experiences. Medical Care Research and Review.2019.
    • ID: 10.1177/1077558718810129 (DOI)
  • Embry, Julia M.. Health Insurance Literacy and Support for the Affordable Care Act Medicaid Expansion. Dissertation, Georgetown University. 2018.
  • Hall, Jean P., Shartzer, Adele, Kurth, Noelle K., Thomas, Kathleen C.. Medicaid expansion as an employment incentive program for people with disabilities. American Journal of Public Health.1235-1237.2018.
    • ID: 10.2105/AJPH.2018.304536 (DOI)
  • Karpman, Michael, Kenney, Genevieve, Gonzalez, Dulce. Health Care Coverage, Access, and Affordability for Children and Parents: New Findings from March 2018. Health Reform Monitoring Survey Policy Brief.Washington, DC: Health Reform Monitoring Survey Policy Brief. 2018.
    • ID: (URL)
  • Ziller, Erika, Burgess, Amanda, Leonard, Barbara. Low-Income, Uninsured Mainers Face Substantial Challenges Getting Health Care. HRMS Brief.Portland, ME: University of Southern Maine, Muskie School of Public Service; Maine Health Access Foundation. 2018.
    • ID: mehaf hrms brief_3 20 2018.pdf (URL)
  • Bart, Lea, Long, Sharon K.. Quicktake: Many Patients Who Struggle to Pay for Health Care Don't Trust Providers to Tell Them the Costs of Treatment Options. Health Reform Monitoring Survey QuickTake.Washington D.C.: Urban Institute, Health Policy Center. 2017.
    • ID: (URL)
  • Karpman, Michael, Kenney, Genevieve M.. QuickTake: Health Insurance Coverage for Children and Parents: Changes between 2013 and 2017. Health Reform Monitoring Survey Policy Brief.. 2017.
    • ID: (URL)

Update Metadata: 2019-06-27 | Issue Number: 6 | Registration Date: 2017-07-20