Designing a Site-Neutral Policy for the Commercial Market: Summary of a New Framework for Policymakers
Policymakers are beginning to look into site-neutral payment reform options for the commercial healt...
Costs and Competition
Consumers are struggling to afford their health coverage and care, largely due to rising health care costs. Our team of nationally recognized experts investigates policy solutions to restrain health care cost growth, improve the affordability of health insurance, and promote a high-quality healthcare system that works for consumers and patients.
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's New
Blog Posts
Taking Stock Of Proposed Updates To Health Plan Price Transparency Rules
Federal price transparency rules were designed to empower consumers, but the reality has been a moun...
The No Surprises Act IDR Process: An Early Look At 2025 Data
While the No Surprises Act continues to protect patients from unexpected out-of-network costs, the f...
Consumers Still Face Surprise Bills for Ground Ambulances — States Are Trying to Protect Them
Despite protections under the No Surprises Act, consumers can still face large, unexpected bills fol...
Events
Untangling the Complex Web of Health Care Financial Interests
On March 27, 2026, Georgetown’s Center on Health Insurance Reforms hosted the first part of its&nb...
Pulling Back the Curtain: Understanding Hospital Finances and Operations to Inform Policy Friday, February 20, 2026
Watch the recording here. On Friday, February 20, 2026, Georgetown Universityâ...
How Hospital Finances Shape Care and Costs in Your CommunityÂ
On Thursday, January 29, 2026, Georgetown University’s Center on Health Insurance Reform...
Diabetes Treatment Innovation: Moving from Standards of Care to Coverage
  On Thursday, November 6, 2025 Georgetown University’s Center on Health Insurance Reforms...
News
Publications
How Has Corporatization Transformed Your State’s Health Care 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 health care.
Consumers Still Face Surprise Bills for Ground Ambulances — States Are Trying to Protect Them
While the No Surprises Act does not protect consumers from ground ambulance surprise bills, this blog post highlights the five states that have recently acted in 2025 to protect consumers with state-regulated plans and explores the various state approaches to payment methodologies, service scopes, enforcement, and consumer protections.
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.
Charting a Path Forward for Health Care Affordability – Policy Solutions from a Diverse Group of Experts
This brief explores policy opportunities such as price regulation, competition, transparency, and enforcement reforms to improve health care affordability.