Can Employer Sponsored Health Insurance Be Saved?
Can Employer-Sponsored Health Insurance Be Saved? Exploring Solutions to the Affordability Crisis &#...
Posts categorized as: Costs and Competition
Events:
No Surprises Act: Exploring the Impact on Employees, Employers and Costs
On March 7, 2024 the Georgetown Center on Health Insurance Reforms held the second in a series of in...
Hospital Financing 101: What are the Factors Driving Hospital Financial Health?
In this April 2024 webinar, we explored differences among hospitals and health systems, their operat...
Paying for Health Care: How Do We Fund U.S. Hospitals?
At our May 17 webinar, we were joined by Nicole Macri from the Washington State House of Representat...
Is Increasing Competition the Answer to Rising Health Care Costs?
On May 21, 2024, the Georgetown Center on Health Insurance Reforms held the third in a series of in-...
How Can We Control Hospital Costs?
In this May 31, 2024, webinar, we were joined by Kim Cammarata, Senior Assistant Attorney General wi...
Transparency in Health Care: Exploring the Impact on Employers, Consumers, and States
On November 20, 2024, the Georgetown Center on Health Insurance Reforms hosted a policy briefing to ...
The Corporate Transformation of Health Care Webinar 1: What It Means for Patients And Providers
Are your constituents impacted by the corporate transformation of healthcare? Read our newest public...
The Corporate Transformation of Health Care Webinar 2: What’s Driving this Trend
Interested in understanding how your state is impacted by corporatization in health care and how you...
The Corporate Transformation of Health Care Webinar 3: How Policymakers Can Curb Harmful Practices
Want to explore policy options to address the problems caused by increased health care corporatizati...
Facility Fee Reforms: How States Are Tackling Excessive Charges
On June 17, 2025 Georgetown Center on Health Insurance Reforms (CHIR) hosted a policy briefing on st...
Why Health Care Costs Are Rising: The Role of Corporatization and Bipartisan Solutions to Increase Affordability
For-profit entities are buying up health care practices and insurers, and corporate strategies aimed...
Diabetes Treatment Innovation: Moving from Standards of Care to Coverage
On Thursday, November 6, 2025 Georgetown University’s Center on Health Insurance Reforms...
How Hospital Finances Shape Care and Costs in Your Community
Hospitals provide essential care, but their financial realities differ dramatically: some opera...
News:
Publications:
What to Ask (About) a Hospital
A guide to better understanding organizational and financial differences across hospitals in the United States
The Complex Web of Health Care Financial Interests and Their Implications for Ever Higher Spending: An Expert Perspective
Achieving cost containment in healthcare requires an understanding of the complex, often opaque, financial relationships now systemically connecting private insurers, providers, and middlemen businesses, and which are characterized by cost increasing incentives, conflicts of interests, and money flows unrelated to value or quality of care for patients.
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.
Blog Posts:
Federal Budget Cuts Won’t Hit All Hospitals Equally: How States Can Better Analyze Hospital And Health System Financial Data
Hospital financial data are often fragmented across multiple sources and require specialized experti...
Unpacking The Price Transparency Provisions Of The Patients Deserve Price Tags Act
The Patients Deserve Price Tags Act, a bipartisan bill introduced in July 2025, strives to make heal...
Prior Authorization Reform Heats Up
Increasing concerns about prior authorization abuses have resulted in new federal and state reforms ...
From Check-Ups to Cha-Ching: Consumers’ Exposure to Facility Fees
High and unexpected charges like facility fees continue to drive patients away from care. In this bl...
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...
A Menu for Health Care Affordability: How States are Delivering Savings Through Hospital Price Regulation
Rising health care spending has led states to employ different approaches to price regulation. In th...
Untangling the Complex Web: Summary of a New Expert Perspective
The health care market has seen significant vertical and horizontal integration of health care provi...
States’ Oversight Approaches to Hospitals’ Market Behaviors: A Set of 50-State Maps
Many of the regulatory and oversight activities influencing the American health care system occur at...
September-October Research Roundup
This fall, as leaves changed, election season heated up, and open enrollment approached, we dove int...
What to Ask (About) A Hospital 101: How to Use New Guide on Hospital Finances and Operations
Hospitals provide essential health care, so it is crucial they maintain financial viability and can ...
Why Health Care Costs Are Rising: The Role of Corporatization and Bipartisan Solutions to Increase Affordability
On October 29, Georgetown University’s Center on Health Insurance Reforms (CHIR) hosted an event d...
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...
The ‘Patients Deserve Price Tags’ Act Would Empower Employers With Information—Is That Enough?
The Patients Deserve Price Tags Act, a bipartisan bill introduced in July 2025, seeks to bring great...
State Efforts To Monitor Outpatient Facility Fees
Several states—including Colorado, Maine, Connecticut, and Washington—have undertaken efforts to...
The Substantial Costs Of The No Surprises Act Arbitration Process
The No Surprises Act’s arbitration process has generated an estimated $5 billion in total costs fr...
August Research Roundup
This August, between summer weekends and back-to-school prep, CHIR dug into fresh health policy rese...
Legislative Persistence Bolsters Oversight of Hospital Consolidation in New Mexico
Historically, New Mexico had limited formal oversight of hospital transactions. In the latest State ...
State Policymakers Show Growing Interest in Ownership Transparency in 2025
As state policymakers grapple with rising commercial health care prices, they showed a growing inter...
June-July Research Roundup: Anticipated Effects of H.R. 1 on health insurance coverage, affordability, and uncompensated care
President Trump recently signed into law some of the most dramatic changes to our healthcare system ...
Federal Officials Announce Steps To Strengthen Health Care Price Transparency
In May, the Departments of Health and Human Services, Labor, and the Treasury announced several acti...
No Surprises Act Arbitrators Vary Significantly In Their Decision Making Patterns
IDR entities have come to play an instrumental role in OON payments, but entities’ determinations ...
Independent Dispute Resolution Process 2024 Data: High Volume, More Provider Wins
While the independent dispute resolution (IDR) process is intended to lead to fair outcomes for out-...
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...
Third-Party Administrators – The Middlemen Of Self-Funded Health Insurance
Pharmacy benefit managers have received significant public attention for their exploitative, cost in...
Considerations for federal agencies tasked with improving health plan price transparency data
While the health plan price transparency data available under current guidance and enforcement have ...
New Executive Order Outlines Next Steps For Health Care Price Transparency
In February, the Trump administration issued an executive order outlining steps for federal agencies...
The Corporate Transformation of Health Care: Takeaways from the CHIR Webinar Series
Over the last two months, CHIR hosted a three-part webinar series about the corporate transformation...
State Spotlight: New Massachusetts Law Enhances Oversight of Private Equity in Health Care
Massachusetts recently enacted a law to increase transparency and oversight of private equity in hea...
Bringing Balance to the Market: A Roadmap for Improving Health Insurance Affordability Through Rate Review
High and rising healthcare costs in the U.S. are driven largely by escalating hospital prices, fuele...
Bipartisan Reports Indicate It’s Time to Take Action Against Private Equity in Health Care
Private equity is not new to the health care sector, but recent growth in private equity investment ...
State Spotlight: The Use Of Provider-Based Reference Pricing In Oklahoma And South Carolina
Like other employer health plans across the commercial insurance market, state employee health plans...
Implementing the No Surprises Act: Updated Complaint Data
The No Surprises Act (NSA) has largely succeeded in protecting consumers from surprise medical bills...