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

  • Young couple looking at a laptop at a table, photo by AzmanL/Getty Images

    How Insurance Marketplace Regulators Can Help Consumers Enroll in Better Coverage

    Aug 2, 2021

    The Affordable Care Act simplified shopping for health care by creating the individual health insurance marketplaces where plans are categorized into labeled tiers. Consumers rely on these labels when comparing plans. But the labels don't tell consumers everything they need to know.

  • Stethoscope and U.S. one hundred dollar bill with face mask on insurance form, photo by aldarinho/Getty Images

    ACA Subsidies for Higher-Income Families Are Key to Enrolling More Americans

    Mar 1, 2021

    The House Ways and Means Committee has proposed several insurance reforms in its emergency COVID-19 relief package, including increasing subsidizes and extending subsidies to people with higher incomes. The proposed combined approach is a far more efficient means of covering uninsured Americans than enhancing subsidies only for those who are currently eligible.

  • Health insurance form with model of COVID-19 virus and pen, photo by ajaykampani/Getty Images

    COVID-19: Preexisting Condition in a Post-ACA World?

    Nov 4, 2020

    The Affordable Care Act is far from perfect, but its protections are particularly relevant to the COVID-19 pandemic. If the ACA is struck down, then protections for preexisting conditions will go with it. Policymakers should consider the potential implications for millions of COVID-19 survivors.

  • 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.