The Clock is Ticking. Can Congress Prevent an Imminent Spike in Marketplace Premiums on January 1?
Congress has returned to Washington, D.C. from its Thanksgiving break, but has yet to resolve the de...
Employer-sponsored Insurance
Employer-sponsored insurance has long been considered the backbone of the U.S. health care system, with more than 60% of Americans enrolled in a job-based plan. Our team of nationally recognized experts investigates policy solutions to address growing concerns regarding the affordability of employer coverage for plan sponsors and workers alike, as well as other reforms to ensure employer-sponsored insurance works for enrollees.
What We Do
Our experts at CHIR conduct research to assess the impact of federal and state policies to reduce costs and foster healthcare competition on consumers, patients, providers, and payers. We provide unbiased, relevant, and timely information, analysis, and technical assistance to policymakers, regulators, and stakeholders seeking a marketplace where consumers have access to affordable and high quality healthcare coverage.
What We’re Working On
- Blogs
- The ‘Patients Deserve Price Tags’ Act Would Empower Employers With Information—Is That Enough?
- Third-Party Administrators – The Middlemen Of Self-Funded Health Insurance
- ERISA Fiduciary Duties: An Old Dog With New Tricks?
- Questionable Conduct: Allegations Against Insurers Acting as Third-Party Administrators
- ERISA 101: The United States’ Hands-Off Approach to Regulating Employer Health Plans
- Publications
- Future of Employer-Sponsored Insurance Event Series
What's New
Blog Posts
Recent Actions by Congress and the Administration Weaken the Market for All, Including Workers Using Individual Coverage HRAs
As provisions of H.R. 1 impact the individual market for coverage, workers with employer-funded ICHR...
Indiana’s Extraordinary Legislative Session Exemplifies How Incremental Efforts Can Improve Health Care Affordability
While Indiana lawmakers have been working to reduce health care costs for commercial health insuranc...
Can States Harness Market Power to Rein In Health Care Costs?
As U.S. health care spending continues to spiral higher, states are using a variety of tools to push...
Events
Diabetes Treatment Innovation: Moving from Standards of Care to Coverage
On Thursday, November 6, 2025 Georgetown University’s Center on Health Insurance Reforms...
Can Employer Sponsored Health Insurance Be Saved?
Can Employer-Sponsored Health Insurance Be Saved? Exploring Solutions to the Affordability Crisis &#...
News
Publications
Health Care Costs for Small Employers: Analysis of Market Challenges and Policy Solutions
In this report, researchers partnered with health actuaries at Wakely Consulting Group (Wakely) to assess the current state of the market for small employer health insurance, the factors driving its decline, and the scope of potential policies to improve coverage affordability for small businesses and their workers.
Protecting Consumers From the Corporate Transformation of Health Care
As corporations and private equity increasingly take control of our health care systems and profits take precedence over care, patients are caught in the middle.
How Has Corporatization Transformed Your State’s Healthcare Market?
A guide for policymakers and state regulators to understand the extent of corporatization in your state and how your state regulates corporate practices in healthcare.