Urban Wire What do we know about ACA implementation? Introducing the Health Reform Monitoring Survey
Sharon K. Long
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Genevieve Kenney and Stephen Zuckerman also contributed to this post.



Launched early last year, the Health Reform Monitoring Survey, or HRMS, is a quarterly survey of the nonelderly designed to provide timely information on implementation issues under the Affordable Care Act (ACA) and changes in health insurance coverage and related health outcomes.

The HRMS relies on GfK’s KnowledgePanel® to assess ACA implementation and identify trends in key outcomes related to the ACA. The HRMS provides quarterly 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.

Where possible, HRMS questions are based on questions used in federal government surveys—including the American Community Survey, the Behavioral Risk Factor Surveillance System, the Current Population Survey, and the National Health Interview Survey—and the data collected are benchmarked against those federal data.

Today, we’re releasing two new policy briefs on the HRMS site: one on consumers’ prior experiences with the nongroup health insurance market, and another on the perceptions of health insurance costs among the currently uninsured. Earlier briefs assessed consumers’ understanding of basic health insurance terms, insurance literacy among uninsured adults eligible for Medicaid, and the factors influencing insurance plan choices among likely Marketplace shoppers.

Core funding for the HRMS is provided by the Robert Wood Johnson Foundation, the Ford Foundation, and the Urban Institute. The Child Supplement is supported by The Atlantic Philanthropies, the David and Lucile Packard Foundation, and an anonymous donor and is conducted in partnership with the Center for Children and Families at Georgetown University. Other donors provide supplemental funding to support targeted oversamples and special analyses.


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Research Areas Health and health care Disability equity policy
Tags Federal health care reform Health equity State health care reform Disability and long-term care Public health Health insurance