The Health Reform Monitoring Survey: Addressing Data Gaps To Provide Timely Insights Into The Affordable Care Act

Long, Sharon K.; Kenney, Genevieve M.; Zuckerman, Stephen; Goin, Dana E.; Wissoker, Douglas; Blavin, Fredric; Blumberg, Linda J.; Clemans-Cope, Lisa; Holahan, John; Hempstead, Katherine

doi:10.1377/hlthaff.2013.0934

Cited by 87 publications

(66 citation statements)

References 9 publications

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“…As discussed earlier, the response rate for rapid-turnaround data sources such as the WBI is much lower than that for government-conducted surveys. 8,9 However, Gallup polls and similar data sets are used regularly to offer timely evaluations of population-level phenomena, including health care-related issues 27,28 and elections. [29][30][31] More importantly, the WBI has been validated against government-conducted surveys for this type of analysis of the uninsured rate, although the same study concluded that the WBI does not reliably measure the type of insurance a person has.…”

Section: Discussionmentioning

confidence: 99%

Health Reform and Changes in Health Insurance Coverage in 2014

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Health Reform and Changes in Health Insurance Coverage in 2014

et al. 2014

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“…All respondents provided information about access to care, affordability, utilization, and demographic characteristics. Survey questions were adapted from past surveys when feasible, [14][15][16] and the instrument was pilot-tested before going into the field (see Appendix for precise question wording).…”

Section: Survey Designmentioning

confidence: 99%

Insurance Churning Rates For Low-Income Adults Under Health Reform: Lower Than Expected But Still Harmful For Many

Sommers

Gourevitch

Maylone³

et al. 2016

Health Affairs

102

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Changes in insurance over time -"churning" -may lead to adverse consequences, but there has been little evidence to date on churning since the implementation of the Affordable Care Act (ACA). We explored the frequency and implications of churning with a survey of over 3000 low-income adults in three states with different ACA policies: Arkansas, Kentucky, and Texas. We also compared 2015 churning rates in these states to pre-ACA survey data from 2013. Overall, 20-25% of respondents experienced a change in coverage in the previous 12 months. While frequent, this rate was lower than some pre-ACA predictions. Churning rates were similar after Kentucky's Medicaid expansion and Arkansas' private option, compared to Texas, which did not expand. Common causes were job-related changes and loss of Medicaid/Marketplace eligibility. Churning was associated with disruptions in physician care and medications, trouble obtaining primary and specialty care appointments, and more ED use. Overall, 35-40% of churners felt that it had adversely impacted their quality of care and health. Outcomes were worst among those experiencing gaps in coverage, but even those who churned without becoming uninsured reported adverse effects. Our results indicate policies are needed to reduce churning frequency and to mitigate negative impacts when it occurs.3

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“…To facilitate a more nationally representative sample, a laptop and Internet service is provided to panel participants who do not have Internet connectivity at home. The KnowledgePanel has been used for a variety of health-related studies, [30][31][32] including a prior study using a methodology parallel to that presented here. 9 A sample of 2162 English-speaking panel participants was selected for the current survey.…”

Section: Samplementioning

confidence: 99%