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Health Reform Monitoring Survey, United States, Fourth Quarter 2013

Version
v4
Resource Type
Dataset : survey data
Creator
  • Holahan, John
  • Long, Sharon K.
Other Title
  • Version 4 (Subtitle)
Collective Title
  • Health Reform Monitoring Survey (HRMS) Series
Publication Date
2014-12-22
Publication Place
Ann Arbor, Michigan
Publisher
  • Inter-University Consortium for Political and Social Research
Funding Reference
  • Robert Wood Johnson Foundation
  • Ford Foundation
  • Urban Institute
Language
English
Free Keywords
Schema: ICPSR
health; health care access; health care costs; health care reform; health care services; health insurance
Description
  • Abstract

    In January 2013, the Urban Institute launched the Health Reform Monitoring Survey (HRMS), a quarterly 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 fourth round of the survey (fourth quarter 2013) include self-reported health status, type of and satisfaction with current health insurance coverage, access to and use of health care, health care affordability, use of information about the health insurance plans offered through the health insurance exchanges created by the ACA, enrollment in health plans or Medicaid through the ACA exchanges, the importance of various criteria in choosing health insurance plans, whether the respondent received notice that his/her current insurance policy was cancelled or would no longer be offered after 2013, worries about future health insurance coverage, and expectations about one's health insurance coverage in 2014. Additional information collected by the survey includes age, education, race, Hispanic origin, gender, income, household size, housing type, marital status, employment status, United States citizenship, smoking, internet access, home ownership, body mass index, sexual orientation, and whether the respondent reported an ambulatory care sensitive condition or a mental or behavioral condition.
  • Abstract

    This study was conducted to provide 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 Affordable Care Act (ACA).
  • Methods

    The Health Reform Monitoring survey (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: Checked for undocumented or out-of-range codes..
  • Methods

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

    Datasets:

    • DS0: Study-Level Files
    • DS1: Public Use Data
    • DS2: Restricted Use Data
Temporal Coverage
  • Time period: 2013-12-06--2013-12-23
  • 2013-12-06 / 2013-12-23
  • Collection date: 2013-12-06--2013-12-23
  • 2013-12-06 / 2013-12-23
Geographic Coverage
  • United States
Sampled Universe
Household population aged 18-64. Smallest Geographic Unit: Census region
Sampling
Each quarterly HRMS sample is drawn from the KnowledgePanel, a probability-based, nationally representative Internet panel maintained by GfK Custom Research. Beginning with the second quarter of 2013, the HRMS includes oversamples of adults with family incomes at or below 138 percent of the federal poverty level and adults from selected state groups based on (1) the potential for gains in insurance coverage in the state under the ACA as estimated by the Urban Institute's microsimulation model and (2) states of specific interest to the HRMS funders. Additional funders have supported oversamples of adults from individual states or subgroups of interest (including children). However, ICPSR received data only for the adults in the general national sample and the income and state group oversamples.
Collection Mode
  • web-based survey
Note
2019-08-07 The variable Q7_F has been restricted from public dissemination. ICPSR has removed this variable from the Public Use Data and updated documentation to reflect this change. ICPSR has updated this collection to include fully enhanced variable and value labels. To conform to ICPSR naming conventions, part numbers have been revised in this release. The Public Use Data is now DS1, and the Restricted Use Data is now DS2.2017-06-07 The principal investigators added a new weight variable to the data file and the technical documentation was updated accordingly.2015-03-17 The principal investigators corrected errors in the variables famsize, _2_famsize, _3_famsize, _4_famsize and _5_famsize. ICPSR revised the codebook accordingly and added to the collection a plain text version of the data with a Stata setup and record layout file. Funding institution(s): Robert Wood Johnson Foundation (71390). Ford Foundation. Urban Institute.
Availability
Delivery
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
  • 35621 (Type: ICPSR Study Number)
Relations
  • Is new version of
    DOI: 10.3886/ICPSR35621.v3
Publications
  • 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)
  • Dzordzormenyoh, Michael Kwame. The Impact of Medicaid Expansion on Access to Healthcare in America: An Andersenian Perspective. Dissertation, University of South Dakota. 2019.
  • 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: http://hrms.urban.org/briefs/health-care-coverage-access-affordability-children-parents-march-2018.html (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)
  • 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: http://apps.urban.org/features/hrms/quicktakes/health-insurance-coverage-children-parents-march-2017.html (URL)
  • Ziller, Erika, Lenardson, Jennifer, Burgess, Amanda. Knowledge of Health Insurance Concepts and the Affordable Care Act among Rural Residents. Maine Rural Health Research Center Research & Policy Brief PB-68.Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center. 2017.
    • ID: http://digitalcommons.usm.maine.edu/cgi/viewcontent.cgi?article=1043&context=insurance (URL)
  • Blavin, Frederic, Shartzer, Adele, Long, Sharon K., Holahan, John. Changes in employer-sponsored insurance: Evidence after the second year of implementation of the Affordable Care Act. 6th Biennial Conference of the American Society of Health Economists--ASHEcon.Philadelphia, PA. 2016.
  • Blavin, Fredric, Shartzer, Adele, Long, Sharon K., Holahan, John. Employer-Sponsored Insurance Stays Strong, with No Signs of Decay under the ACA: Findings through March 2016. Health Reform Monitoring Survey Policy Brief.Health Policy Center, Urban Institute. 2016.
    • ID: http://hrms.urban.org/briefs/employer-sponsored-insurance-stays-strong.pdf (URL)
  • Blumberg, Linda J., Garrett, Bowen, Holahan, John. Estimating the counterfactual: How many uninsured adults would there be today without the ACA?. Inquiry (Rochester): The Journal of Health Care Organization, Provision and Financing.53, 2016.
    • ID: 10.1177/0046958016634991 (DOI)
  • Karpman, Michael, Long, Sharon K., Zuckerman, Stephen. Taking Stock: Health Insurance Coverage under the ACA as of March 2016. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2016.
    • ID: http://hrms.urban.org/briefs/health-insurance-coverage-ACA-March-2016.html (URL)
  • Skopec, Laura, Holahan, John, Solleveld, Patricia. Health Insurance Coverage in 2014: Significant Progress, but Gaps Remain. ACA Implementation-Monitoring and Tracking.Washington, DC: Urban Institute. 2016.
    • ID: http://www.urban.org/research/publication/health-insurance-coverage-2014significant-progress-gaps-remain/view/full_report (URL)
  • Skopec, Laura, Holahan, John, Solleveld, Patricia. Health Insurance Coverage in 2014: Significant Progress, but Gaps Remain. Executive Summary. ACA Implementation-Monitoring and Tracking.Washington, DC: Urban Institute. 2016.
    • ID: http://www.urban.org/sites/default/files/rwjf431339_exec_summary.pdf (URL)
  • Skopec, Laura, Waidmann, Timothy A.. Monitoring the Impact of Health Reform on Americans Ages 50–64: Fewer Americans Ages 50–64 Have Difficulty Paying Family Medical Bills after Early ACA Marketplace Implementation. Insight on the Issues 110.Washington, DC: AARP Public Policy Institute. 2016.
    • ID: http://www.aarp.org/content/dam/aarp/ppi/2015/fewer-americans-ages-50-64-have%20-difficulty-paying-family-medical-bills-after-early-aca-marketplace%20Implementation.PDF (URL)
  • Skopec, Laura, Waidmann, Timothy A., Sung, Jane, Dean, Olivia. Monitoring the Impact of Health Reform on Americans Ages 50–64: Access to Health Care Improved during Early ACA Marketplace Implementation. Insight on the Issues 111.Washington, DC: AARP Policy Institute. 2016.
    • ID: http://www.aarp.org/content/dam/aarp/ppi/2015/access-to-health-care-improved-during-early-aca-%20marketplace-implementation.PDF (URL)
  • Karpman, Michael. Quicktake: Thirty-Six Percent Drop in Uninsurance Rate for Adults in Rural Areas Narrows Rural-Urban Coverage Gap. Health Reform Monitoring Survey QuickTake.Washington, DC: Urban Institute, Health Policy Center. 2015.
    • ID: http://hrms.urban.org/quicktakes/Thirty-Six-Percent-Drop-in-Uninsurance-Rate.html (URL)
  • Karpman, Michael, Kenney, Genevieve M., Anderson, Nathaniel' Long, Sharon K.. Quicktake: The Gap in Uninsurance Rates for Parents and Children Narrowed between September 2013 and March 2015. Health Reform Monitoring Survey QuickTake.Washington, DC: Urban Institute, Health Policy Center. 2015.
    • ID: http://hrms.urban.org/quicktakes/The-Gap-in-Uninsurance-Rates-for-Parents-and-Children-Narrowed-between-September-2013-and-March-2015.html (URL)
  • Karpman, Michael, Kenney, Genevieve M., Zuckerman, Stephen. Quicktake: Trends in Uninsurance and State Marketplace and Medicaid Expansion Decisions. Health Reform Monitoring Survey QuickTake.Washington, DC: Urban Institute, Health Policy Center. 2015.
    • ID: http://hrms.urban.org/quicktakes/Trends-in-Uninsurance-and-State-Marketplace-and-Medicaid-Expansion-Decisions.html (URL)
  • Karpman, Michael, Long, Sharon K.. QuickTake: Taking Stock: Gains in Health Insurance Coverage under the ACA Continue as of September 2015, but Many Remain Uninsured. Washington, DC: Urban Institute, Health Policy Center. 2015.
    • ID: http://hrms.urban.org/quicktakes/Gains-in-Health-Insurance-Coverage-under-the-ACA-Continue-as-of-September-2015-but-Many-Remain-Uninsured.html (URL)
  • Karpman, Michael, Long, Sharon K.. Quicktake: HRMS Benchmarks Well against Gallup-Healthways and NHIS on Changes in Health Insurance Coverage between 2013 and 2015. Health Reform Monitoring Survey QuickTake.Washington, DC: Urban Institute, Health Policy Center. 2015.
    • ID: http://hrms.urban.org/quicktakes/HRMS-Benchmarks-Well-against-Gallup-Healthways-and-NHIS-on-Changes-in-Health-Insurance-Coverage-between-2013-and-2015.html (URL)
  • Karpman, Michael, Weiss, Adam, Long, Sharon K.. Quicktake: Access to Health Care Providers Improved between September 2013 and September 2014. Health Reform Monitoring Survey QuickTake.Washington, DC: Urban Institute, Health Policy Center. 2015.
    • ID: http://hrms.urban.org/quicktakes/Access-to-Health-Care-Providers-Improved.html (URL)
  • Long, Sharon K., Karpman, Michael, Kenney, Genevieve M., Zuckerman, Stephen, Wissoker, Douglas, Shartzer, Adele, Anderson, Nathaniel, Hempstead, Katherine. Taking Stock: Gains in Health Insurance Coverage under the ACA as of March 2015. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2015.
    • ID: http://hrms.urban.org/briefs/Gains-in-Health-Insurance-Coverage-under-the-ACA-as-of-March-2015.pdf (URL)
  • Michael Karpman, Long, Sharon K.. 9.4 Million Fewer Families Are Having Problems Paying Medical Bills. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2015.
    • ID: http://hrms.urban.org/briefs/9-4-Million-Fewer-Families-Are-Having-Problems-Paying-Medical-Bills.pdf (URL)
  • Smolka, Gerry, Dean, Olivia, Caswell, Kyle J., Waidmann, Timothy A., Weiss, Adam L.. Monitoring the Impact of Health Reform on Americans 50-64: Use of Insurance Marketplaces. Insight on the Issues.97, Washington, DC: AARP Public Policy Institute. 2015.
    • ID: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.670.6018&rep=rep1&type=pdf (URL)
  • Blavin, Fredric. Who has been looking for information in the ACA marketplaces? Why? And How?. Medical Benefits.31, (10), 6-9.2014.
  • Blavin, Fredric, Zuckerman, Stephen, Karpman, Michael. Who Has Been Looking for Information in the ACA Marketplaces? Why? And How?. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2014.
    • ID: http://hrms.urban.org/briefs/early-market-experiences.html (URL)
  • Clemans-Cope, Lisa, Karpman, Michael, Weiss, Adam, Anderson, Nathaniel. Increase in Medicaid under the ACA Reduces Uninsurance, According to Early Estimates. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2014.
    • ID: http://hrms.urban.org/briefs/Increase-in-Medicaid-under-the-ACA-reduces-uninsurance.html (URL)
  • Dorn, Stan. Public Education, Outreach and Application Assistance. ACA Implementation - Monitoring and Tracking.Washington D.C.: Urban Institute, Health Policy Center. 2014.
    • ID: https://www.urban.org/sites/default/files/publication/33781/2000037-Public-Education-Outreach-and-Application-Assistance.pdf (URL)
  • Garrett, Bowen, Clemans-Cope, Lisa, Hempstead, Katherine, Anderson, Nathaniel. Who among the Uninsured Do Not Plan to Look for Health Insurance in the ACA Marketplaces?. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2014.
    • ID: http://hrms.urban.org/briefs/uninsured-not-looking-for-insurance.pdf (URL)
  • Goin, Dana, Long, Sharon K.. Health Care Access and Cost Barriers for Adults with Physical or Mental Health Issues: Evidence of Significant Gaps as the ACA Marketplaces Opened their Doors. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2014.
    • ID: http://hrms.urban.org/briefs/evidence-of-significant-gaps.pdf (URL)
  • Kenney, Genevieve M., Alker, Joan, Anderson, Nathaniel, McMorrow, Stacey, Long, Sharon K., Wissoker, Douglas, Clemans-Cope, Lisa, Dubay, Lisa, Karpman, Michael, Brooks, Tricia. A First Look at Children's Health Insurance Coverage under the ACA in 2014 . Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2014.
    • ID: http://hrms.urban.org/briefs/Childrens-Health-Insurance-Coverage-under-the-ACA-in-2014.pdf (URL)
  • Kenney, Genevieve M., Anderson, Nathaniel, Long, Sharon K., Dubay, Lisa, McMorrow, Stacey, Clemans-Cope, Lisa, Karpman, Michael, Wissoker, Douglas. Taking Stock: Health Insurance Coverage for Parents under the ACA in 2014. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2014.
    • ID: http://hrms.urban.org/briefs/Health-Insurance-Coverage-for-Parents-under-the-ACA-in-2014.pdf (URL)
  • Long, Sharon K., Karpman, Michael, Shartzer, Adele, Wissoker, Douglas, Kenney, Genevieve M., Zuckerman, Stephen, Anderson, Nathaniel, Hempstead, Katherine. Taking Stock: Health Insurance Coverage under the ACA as of September 2014. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center . 2014.
    • ID: http://hrms.urban.org/briefs/Health-Insurance-Coverage-under-the-ACA-as-of-September-2014.pdf (URL)
  • Long, Sharon K., Kenney, Genevieve M., Zuckerman, Stephen, Wissoker, Douglas, Goin, Dana, Hempstead, Katherine, Karpman, Michael, Anderson, Nathaniel. Early Estimates Indicate Rapid Increase in Health Insurance Coverage under the ACA: A Promising Start. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2014.
    • ID: http://hrms.urban.org/briefs/early-estimates-indicate-rapid-increase.pdf (URL)
  • Long, Sharon K., Kenney, Genevieve M., Zuckerman, Stephen, Wissoker, Douglas, Shartzer, Adele, Karpman, Michael, Anderson, Nathaniel. Quicktake: Number of Uninsured Adults Continues to Fall under the ACA: Down by 8.0 Million in June 2014. Health Reform Monitoring Survey QuickTake.Washington, DC: Urban Institute, Health Policy Center. 2014.
    • ID: http://hrms.urban.org/quicktakes/Number-of-Uninsured-Adults-Continues-to-Fall.html (URL)
  • Long, Sharon K., Kenney, Genevieve M., Zuckerman, Stephen, Wissoker, Douglas, Shartzer, Adele, Karpman, Michael, Anderson, Nathaniel, Hempstead, Katherine. Taking Stock at Mid-Year: Health Insurance Coverage under the ACA as of June 2014. Health Reform Monitoring Survey Policy Brief.Washington, DC: Urban Institute, Health Policy Center. 2014.
    • ID: http://hrms.urban.org/briefs/taking-stock-at-mid-year.pdf (URL)

Update Metadata: 2019-08-07 | Issue Number: 2 | Registration Date: 2019-08-07

Holahan, John; Long, Sharon K. (2014): Health Reform Monitoring Survey, United States, Fourth Quarter 2013. Version 4. Health Reform Monitoring Survey (HRMS) Series. Version: v4. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset. https://doi.org/10.3886/ICPSR35621.v4