DOI: 10.3886/icpsr35621.v4
title: Health Reform Monitoring Survey, United States, Fourth Quarter 2013
title: Version 4

description: 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.
description: 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).
description: 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.
description: 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.
description: Response Rates: The HRMS response rate is roughly five percent each quarter.
description: 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.
description: Datasets: 
DS0: Study-Level Files
DS1: Public Use Data
DS2: Restricted Use Data
description: Household population aged 18-64. Smallest Geographic Unit: Census region
description: web-based surveyThe principal investigators did not provide many of the variables collected in the fourth round, specifically, the open-ended response variables (such as question 8b), the variables from the questionnaire module on child health and child health care (Questions QS1 to QS32, a version of the questionnaire that includes these questions is available at the HRMS website), and many variables from the KnowledgePanel profile questionnaire.Comprehensive information about this survey is available
on the HRMS Web site.Demographic variables are provided by the KnowledgePanel.