Health Reform Opinion Study Blog Series

The RAND Health Reform Opinion Study surveys respondents on their evolving opinions about the Affordable Care Act continuously. Through April, we'll be unpacking our most compelling findings in regular posts to the RAND Blog:


  • measuring blood pressure

    Tracking the ACA with the RAND Health Reform Opinion Study

    Apr 22, 2014

    The HROS uses panel data to track changes in public opinion regarding the Affordable Care Act and insurance coverage. By surveying the same respondents each month, the HROS observes not only aggregate changes, but also individual changes in opinion or insurance coverage over time.

  • a doctor discussing a patient's chart on a tablet

    RAND Health Reform Opinion Study: Few Changes After Open Enrollment

    Apr 16, 2014

    At the close of the ACA's open enrollment period, no significant changes in opinion were observed in the RAND Health Reform Opinion Study. This may be because open enrollment has no bearing on the health insurance of many people.

  • doctor with senior patient

    Survey Estimates Net Gain of 9.3 Million American Adults with Health Insurance

    Apr 8, 2014

    Early survey evidence indicates that the Affordable Care Act has already led to a substantial increase in insurance coverage. Consistent with the ACA's design, this gain in insurance has come not only from new enrollment in the marketplaces, but also from new enrollment in employer coverage and Medicaid.





More on the ACA from the RAND Blog

  • Clear piggy bank with coins and red medical case, photo by Altayb/Getty Images

    Options for Designing a Public Option

    May 28, 2020

    State and federal policymakers are considering adding state-backed public options to the individual market in an effort to expand health coverage and improve affordability. We analyzed what would happen if public options became available in U.S. health insurance exchanges.

  • The U.S. Supreme Court building in Washington, D.C., January 19, 2020, photo by Will Dunham/Reuters

    What If the Supreme Court Strikes Down the ACA During the Pandemic?

    Apr 3, 2020

    With COVID-19 spreading across the United States, the fate of the Affordable Care Act is once again up in the air, hanging on the outcome of a Supreme Court case. Should the law be overturned, upwards of 20 million people could lose their health insurance during one of the deadliest pandemics in modern history.

  • The state flag of New York on a capsule and pills on a spoon

    All Health Policy Is Local: The Case of the Individual Mandate Penalty in New York

    Oct 30, 2018

    As with many Affordable Care Act policies, how New York is dealing with the absence of the individual mandate penalty is a potent reminder that all health policy is local.

  • Health care spending, money, medication, stethoscope

    Understanding the Impact of the Elimination of the Individual Mandate Penalty

    Aug 10, 2018

    Starting in 2019, the Affordable Care Act's individual mandate penalty will be eliminated, effectively ending the law's requirement that most people have health insurance. While declines in coverage and increases in premiums are likely, the magnitudes of these effects are highly uncertain.

  • Sen. Bill Cassidy (R-LA), accompanied by Sen. Lindsey Graham (R-SC), Sen. Roy Blunt (R-MO), Sen. John Barrasso (R-WY) and Senate Majority Leader Mitch McConnell, speaks with reporters following the party luncheons on Capitol Hill in Washington, U.S., September 19, 2017.

    Do Americans Expect Too Much from Health Insurance?

    Sep 23, 2017

    Americans expect affordable coverage for pre-existing conditions, access to routine services, and protection from unpredictable and significant financial risk from accidents or illness. As a product designed primarily for risk protection, insurance may not be the most efficient or affordable approach to achieving all of these objectives.