Spending On IDR Process Pushes No Surprises Act Costs To More Than $22.4 Billion Over Just Four Years
Recent Public Use File (PUF) data demonstrate that the independent dispute resolution (IDR) process ...
Corporatization 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. Our team of nationally recognized experts investigates policy solutions to 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 We’re Working On
The Corporate Transformation of Health Care
- *NEW*: A 3-Part Strategy for Better Health Insurance
- Events
- Publications
- Blogs
What's New
Blog Posts
Who Controls Your Health Care? Congress Advances Legislation with New Ownership Disclosure Requirements
Legislation on ownership transparency is positioned for potential Congressional action later this ye...
The Fair Pay, Fair Play TPA: A Proposal To Disrupt The Market For Health Plan Administration
The current landscape of consolidated hospitals and insurance conglomerates is unsustainable for bot...
The Outpatient Pivot: How Prospect Exploited Facility Fees While Inpatient Care Crumbled
Private equity investors who purchase health care facilities frequently deploy financial and managem...
Events
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...
How Hospital Finances Shape Care and Costs in Your Community
On Thursday, January 29, 2026, Georgetown University’s Center on Health Insurance Reform...
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...
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...
News
Publications
A 3-Part Strategy for Better Health Insurance, Executive Summary
To help policymakers confront health care affordability challenges, the Georgetown University Center on Health Insurance Reforms (CHIR) has released A 3-Part Strategy for Better Health Insurance: Reducing Costs, Complexity, and Corporate Abuses, a new brief that details actionable federal solutions to reform commercial coverage.
A 3-Part Strategy for Better Health Insurance, Full Brief
To help policymakers confront health care affordability challenges, the Georgetown University Center on Health Insurance Reforms (CHIR) has released A 3-Part Strategy for Better Health Insurance: Reducing Costs, Complexity, and Corporate Abuses, a new brief that details actionable federal solutions to reform commercial coverage.
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.
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.