Tackling Diabetes Coverage and Affordability
The first installment of a series of webinars on how private health insurance coverage impacts peopl...
Posts categorized as: Patient and Consumer Support
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...
News:
Publications:
Preparing for Marketplace Open Enrollment for People with Diabetes: What to Expect
Georgetown’s Center on Health Insurance Reforms (CHIR), in partnership with Families USA, released a series of resources to help providers and assisters working with people with insulin-requiring diabetes prepare for the upcoming Affordable Care Act (ACA) marketplace open enrollment period.
Filling in Gaps and Avoiding Insufficient Coverage Options for People with Diabetes
Georgetown’s Center on Health Insurance Reforms (CHIR), in partnership with Families USA, released a series of resources to help providers and assisters working with people with insulin-requiring diabetes prepare for the upcoming Affordable Care Act (ACA) marketplace open enrollment period.
Resources for People with Diabetes Navigating Marketplace Open Enrollment
Georgetown’s Center on Health Insurance Reforms (CHIR), in partnership with Families USA, released a series of resources to help providers and assisters working with people with insulin-requiring diabetes prepare for the upcoming Affordable Care Act (ACA) marketplace open enrollment period.
Diabetes Stakeholder Considerations for Responding to the Senate Finance Committee Request for Information (RFI) on Health Coverage
Georgetown CHIR has analyzed the Senate Finance RFI and published a considerations document for people with insulin-requiring diabetes broken out by topic.
Diabetes Considerations for Essential Health Benefits (EHB) Request for Information (RFI)
The following are Essential Health Benefits considerations for people with insulin-requiring diabetes.
Protected from surprise bills—but not from rising costs
This brief provides an overview of the No Surprises Act (NSA) consumer protections and the potential cost implications of the independent dispute resolution (IDR) process within the law.
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.
Diabetes Technology Meeting 2025, Commercial Insurer CGM Coverage Criteria: Significant Variation in Devices Covered and Criteria for Approval
Poster presented at the 2025 Diabetes Technology Meeting summarizing findings from CHIR study of CGM coverage
Blog Posts:
CMS Seeks Input on Major Overhaul to Essential Health Benefit (EHB) Requirements
On June 15, 2026, The Centers for Medicare and Medicaid Services (CMS) released an RFI, asking for i...
The Peddling Of “Junk Plans” To Consumers Facing Higher Insurance Premiums
As 2026 premium hikes make ACA Marketplace plans less affordable, misleadingly marketed non-ACA “j...
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...
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...
Preventive Services at Risk: Federal Instability and State Responses
Although the Supreme Court recently upheld the constitutionality of the Affordable Care Act's mandat...
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 ...
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...