Health Reform Monitoring Survey, United States, June 2022 (ICPSR 38774)

Version Date: Aug 8, 2024

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Principal Investigator(s):
John Holahan, Urban Institute; Michael Karpman, Urban Institute

Series:

https://doi.org/10.3886/ICPSR38774.v1

Version V1

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Summary

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 21st round of the survey (June 2022) include self-reported health status, health insurance coverage, access to health care, disability, COVID-19, awareness of the Medicaid continuous coverage requirement, past-due medical debt, unfair treatment in health care settings, food security, and access to transportation. Additional information collected by the survey includes age, gender, sexual orientation, marital status, education, race and ethnicity, United States citizenship, housing type, home ownership, internet access, income, and employment status.

Citation

Holahan, John, and Karpman, Michael. Health Reform Monitoring Survey, United States, June 2022. Inter-university Consortium for Political and Social Research [distributor], 2024-08-08. https://doi.org/10.3886/ICPSR38774.v1

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Funding

Robert Wood Johnson Foundation

Subject Terms

Geographic Coverage

Smallest Geographic Unit

Census Region

Restrictions

ICPSR restricted certain variables from general dissemination for reasons of confidentiality. Users interested in obtaining the restricted data must complete a restricted data use agreement with ICPSR, specify the reasons for the request, and obtain IRB approval or notice of exemption for their research. Apply for access to the restricted data via the ICPSR restricted data contract portal which can be accessed on the study home page.

Distributor(s)

Inter-university Consortium for Political and Social Research
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Time Period(s)

2022-06-01 -- 2022-07-31

Date of Collection

2022-06-17 -- 2022-07-05

Data Collection Notes

  1. Demographic variables are provided by the KnowledgePanel.

  2. More information about this study is available on the HRMS website.

  3. The public-use and restricted-use data files are exactly the same with the exception of the variable PPREG4. The valid data for this variable has been set to missing in the public-use version of the dataset. Everything else (data, labels, open-ended responses) will be the same between the public-use and restricted-use versions. Please review the processing notes at the front of each codebook for additional information regarding the data.

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Study Purpose

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), impacts of the COVID-19 pandemic, and other health topics.

Study Design

Panel members were contacted through email and invited to participate in the HRMS. Participants are directed to follow a link to the online, self-administered survey. To encourage participation, the study team used an incentive system that allowed panel members to accrue points based on the number of surveys they completed.

The survey for this study was administered online in both English and Spanish and took a median time of 12-15 minutes to complete. Internet access and web-enabled devices were provided to panel members if needed.

Sample

For each HRMS round, a stratified random sample of adults ages 18-64 were drawn from the Knowledge Panel, a probability-based, nationally representative Internet panel maintained by Ipsos. The approximately 55,000 adults in the panel included households with and without Internet access. Panel members were 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 2022 HRMS sample included 9,494 nonelderly adults, including oversamples of low-and moderate-income adults by race and ethnicity and an oversample of adults ages 18 to 29.

Time Method

Cross-sectional

Universe

United States population aged 18-64.

Unit(s) of Observation

Individual

Data Type(s)

Mode of Data Collection

Description of Variables

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.

Response Rates

The cumulative response rate for the June 2022 HRMS was 2.5%.

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Original Release Date

2024-08-08

Version History

2024-08-08 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 variable labels and/or value labels.
  • Created online analysis version with question text.
  • Checked for undocumented or out-of-range codes.

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Weight

The Health Reform Monitoring Survey (HRMS) weights reflect the probability of sample selection from the KnowledgePanel and post-stratification to the characteristics of nonelderly adults in the United States based on benchmarks from the Current Population Survey and American Community Survey. Variables used in the post-stratification weighting of the KnowledgePanel and the post stratification weighting of the HRMS include sex, age, race and ethnicity, primary language, education, presence of children in households, household income, family income as a percentage of federal poverty levels (FPL), homeownership status, internet access, urban or rural status, state group, and census region. In January 2017, all rounds of the HRMS were reweighted due to a change in the Current Population Survey question on Internet access that was being used to create benchmarks for the construction of the post stratification weights.

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Notes

  • The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.

  • One or more files in this data collection have special restrictions. Restricted data files are not available for direct download from the website; click on the Restricted Data button to learn more.

HMCA logo

This study is maintained and distributed by the Health and Medical Care Archive (HMCA). HMCA is the official data archive of the Robert Wood Johnson Foundation.