Tackling Diabetes Coverage and Affordability
The first installment of a series of webinars on how private health insurance coverage impacts peopl...
Posts categorized as: Health Insurance Coverage
Events:
Tackling Prior Authorization Barriers for Patients with Diabetes
The second installment of a series of webinars on how private health insurance coverage impacts peop...
Advancing Diabetes Coverage and Access: Looking Back on 2024 and Ahead to 2025
The third installment of a series of webinars on how private health insurance coverage impacts peopl...
Navigating New Coverage Changes: What People With Diabetes Need to Know
On Thursday, September 18, 2025 Georgetown University’s Center on Health Insurance Reforms (CHIR) ...
Diabetes Treatment Innovation: Moving from Standards of Care to Coverage
On Thursday, November 6, 2025 Georgetown University’s Center on Health Insurance Reforms...
News:
The shutdown is about to end. Will millions lose their health insurance?
The uncertainty and concerns about affordability will likely prompt some cost-conscious and healthier consumers to drop ACA coverage.
Publications:
Variability in Continuous Glucose Monitor Coverage in the Fully Insured Market
CHIR’s newly released report, supported by the Helmsley Charitable Trust, examines coverage policies from ten of the nation’s largest carriers and uncovers substantial variation in device availability, benefit classification, and clinical eligibility requirements.
Recommendations for States’ Efforts to Mitigate Harms Caused by Federal Policy Actions
This report provides a set of recommendations for states to mitigate the loss of health insurance coverage resulting from federal policy changes.
Exploring Non-Traditional and Innovative Behavioral Health Care Models
This report, the third in a five-part series supported by the National Institute for Health Care Reform, explores non-traditional and innovative models designed to overcome access barriers.
Blog Posts:
Recommendations for States’ Efforts to Mitigate Harms Caused by Federal Policy Actions
Recent federal policy changes will result in millions of people losing health insurance coverage. CH...
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...
September-October Research Roundup
This fall, as leaves changed, election season heated up, and open enrollment approached, we dove int...
Cash is No Substitute for Coverage: Why Health Insurance Matters
As Congress ends the government shutdown, the debate over extending enhanced premium tax credits rem...
Translating Clinical Guidelines into Insurance Coverage Standards: High Stakes for Diabetes Access
As states move to regulate prior authorization and other utilization management practices, growing s...
Recent Federal ACA Marketplace Changes Strip Access to Health Care for Many Lawfully Present Immigrants
For many lawfully residing immigrants, recent federal policy changes have effectively eliminated aff...
What to Expect for Open Enrollment, 2026 Edition
Debates over premium tax credits have dominated headlines, but other federal changes will also shape...
Damage From Inaction On ACA Tax Credits Has Begun And Will Grow With Further Delays
2026 ACA premium rates have shown sharp cost increases and coverage losses. In their latest piece fo...
The Crucial Role of $0 Premium Plans in the Affordable Care Act Marketplaces
As Americans struggle with health care affordability, federal policy changes have enabled many to ac...
Congress and the Administration Are Using Paperwork to Discourage Enrollment in Marketplace Insurance
Since taking office, the Trump administration has pursued multiple tactics to limit access to afford...
How States Can Help Curb the Rising Medical Debt Related to Federal Coverage Cuts
The budget reconciliation bill, combined with expiring enhanced premium tax credits and other recent...
Preventive Services at Risk: Federal Instability and State Responses
Although the Supreme Court recently upheld the constitutionality of the Affordable Care Act's mandat...
August Research Roundup
This August, between summer weekends and back-to-school prep, CHIR dug into fresh health policy rese...
New Guidance Expands Pool of Individuals Eligible to Purchase Catastrophic Plans
New federal guidance expands eligibility for "catastrophic" health plans that offer lower premiums b...
CHIR Submits Analysis to U.S. Senators on Double-Digit Rate Increases Proposed for the Marketplace in 2026
In August, 16 U.S. Senators asked CHIR to review health insurers’ filings to state regulators supp...
After H.R.1, Millions More Could Lose Marketplace Coverage
Marketplace enrollees are facing threats to their health coverage and healthcare affordability as a ...
Ruling in Challenge to Marketplace Rule: Initial Analysis and Implications for States
On August 22, a federal court blocked major provisions of a regulation affecting the Affordable Care...
The Dismantling of Obamacare Starts August 25 – Unless Litigation Can Stop It
The first of numerous federal policies that reverse recent coverage gains under the the Affordable C...
New Federal Rules Affecting Coverage of Treatment for Gender Dysphoria: Considerations for States
New federal rules attempt to curtail insurance coverage of treatment for gender dysphoria. In her la...
H.R. 1, Recently Enacted Federal Budget Law Spells Trouble for Patients with Insulin-Requiring Diabetes
The recently enacted federal budget law is set to significantly roll back health insurance coverage ...
Kentucky Drops Adult Dental Care from State’s Essential Health Benefits Benchmark Plan Submission
The 2025 Notice of Benefit and Payment Parameters gave states the flexibility to require adult denta...
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 ...
Explainer: The Medicaid and Marketplace Provisions of the Budget Reconciliation Bill
With the recent signing of H.R. 1, many may be wondering what this means for their Medicaid and Mark...
Final Federal Marketplace Integrity Rule: Implications for States
Recent federal rules are projected to cause up to two million people to lose health insurance and ra...
A Setback, Not a Defeat: Our Work to Ensure Access to Affordable, High Quality Health Care Continues
President Trump’s signature on H.R. 1, the budget reconciliation bill, will lead to upwards of 17 ...
Explore the Data: Interactive Map of Dental Coverage Through the Marketplaces
Dental coverage offered through the ACA Marketplaces is constantly changing. Building on CHIR’s 20...
Testimony of Sabrina Corlette, J.D. before the U.S. House of Representatives Ways & Means Health Subcommittee – June 25, 2025
The U.S. House of Representatives’ Ways & Means Health Subcommittee recently held a hearing about ...
Early 2026 Rate Filings Show Marketplace Policy Changes Contribute to Eye-Popping Rate Increases
This year, insurers are setting their rates for 2026 while Congress and the administration weigh sev...
Second Verse, Same as the First: Senate Reconciliation Language Fails to Fix Paperwork Burdens, Other Barriers to Marketplace Coverage
With the passage of H.R.1, the House of Representatives’ version of the budget reconciliation bill...
Federal Efforts Ostensibly Aimed at Marketplace “Fraud” Ignore Obvious Strategies to Counter Broker Misconduct
The proposed Marketplace Integrity rule and House-passed budget bill purportedly aim to curb ACA fra...
Congress’ Proposed Paperwork Requirements Could Leave New Families, Laid-off Workers, and Self-Employed Without Health Coverage
The Senate will soon consider the “One Big, Beautiful Bill” that would make changes to Marketpla...
Health Insurance Transitions For Young People With Diabetes Can Be Life Threatening
As Congress debates policies that would disenroll millions of people from both Medicaid and marketpl...
Federal Rule Gives Regulators Enhanced Tools to Ensure Equitable Access to Behavioral Health Care
Last fall, the Biden Administration finalized a rule updating standards for the Mental Health Parity...
Enforcing Mental Health Parity: State Options to Improve Access to Care
The 2008 Mental Health Parity and Addiction Equity Act (MHPAEA) is the primary federal law protectin...