Affordable Care Act Tracking Survey, 2018


The Affordable Care Act (ACA) Tracking Survey, launched in 2013, has helped The Commonwealth Fund become a leading source on the health reform law's effects on health care coverage, access, and affordability. The 2016 survey, fielded at the end of the third open enrollment period, found that most enrollees in Medicaid and marketplace plans who had used their insurance to get care could not have afforded or accessed that care prior to enrolling. Findings also showed these consumers were satisfied with their insurance. The survey also found that following large drops in uninsured rates in 2014, declines have begun to level off among young and lower-income adults. The 2017 edition of the ACA Tracking Survey is scheduled to come out of the field in mid-June, providing a first look at Americans' experiences with marketplace and Medicaid coverage under the new administration. Given the Trump administration's changes to the ACA and potential legislation affecting the law's reforms, the Fund is proposing a new approach for the 2018 tracking survey. The SSRS team will conduct two shorter versions, each with a nationally representative sample of 2,400 adults. The first survey will be fielded between September and October 2017 and the second between January and February 2018. Both surveys will track key measures like uninsured rates and affordability that are "trendable" to the original survey. But they will also include new questions to allow for more timely insights into how changes to the ACA are affecting Americans and how consumers view these changes as well as other, proposed revisions to the law. The ACA Tracking Survey has played a critical role in keeping policymakers and the media informed of the health reform law's impact on coverage and access to care. Survey results in 2017 and 2018 will provide critical data points regarding the consumer impact of ACA changes and perceptions of change.

Grant Details

Grantee Organization:
Principal Investigator:
Robyn Rapoport, M.A.
Award Amount:
Approval Date:
July 11, 2017

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