The Latest Research and Action on Facility Fee Reform
CHIR's Outpatient Facility Fee Reform Resource Library describes resources on outpatient facility fe...
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
Implementing the No Surprises Act: Updated Complaint Data From 2022 to 2025
In June, CMS released an updated report with complaint data from the NSA's implementation. In this b...
The Outpatient Pivot: How Prospect Exploited Facility Fees While Inpatient Care CrumbledÂ
Private equity investors who purchase health care facilities frequently deploy financial and managem...
Legislative Roundup: States Take Action to Promote Competition & Regulate Health Care Prices
States are increasingly taking action to contain rising health care costs. In this blog, CHIR expert...
Events
Is ERISA Up for the Job? Improving Employer-Sponsored Health Insurance Affordability
On Tuesday, June 2, 2026, Georgetown CHIR, in collaboration with the Peterson Center on Healthcare, ...
Big Medicine: Implications of Vertical Integration for Patients, Providers, and Employers
On Tuesday, May 19, 2026, Georgetown’s Center on Health Insurance Reforms in collaboration with Ar...
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...
News
Publications
No Good Options: In the Wake of Marketplace Affordability Woes, Consumers Face Onslaught of Misleading Marketing of Limited Benefits Product
Georgetown’s Center on Health Insurance Reforms (CHIR), with funding from Blood Cancer United, released findings from a secret shopper study finding aggressive and misleading marketing of limited benefit health insurance products.
Hollowed Out: How Private Equity Destabilized Safety-Net Hospitals in Pennsylvania, Connecticut, and Rhode Island
This case study examines how the private equity firm Leonard Green & Partners and Prospect Medical Holdings hollowed out safety-net hospitals in Pennsylvania, Connecticut, and Rhode Island.
Leveraging Data to Control Costs: How Five State Employee Health Plans Use Claims and Price Transparency Data to Improve Affordability
A new report from the Center on Health Insurance Reforms, supported by Arnold Ventures, examines how state employee health plans (SEHPs) in five states—California, Kansas, Massachusetts, Minnesota, and Utah—access and utilize claims and price transparency data to improve affordability for their employees.
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.