Leveraging Partnerships to Navigate Emerging Diabetes Coverage, Access, and Affordability Challenges
Medicaid and marketplace coverage changes are having profound impacts on people living with insulin-...
Health Insurance Coverage
Access to affordable, high quality health insurance coverage improves access to care, boosts health care outcomes, and provides critical financial security. Yet such coverage is too often difficult to access or inadequate to fully meet people’s needs. Our team of nationally recognized experts investigates the impact of federal and state policies on whether and how health insurance does – or too often does not – work for people.
What We Do
Our experts at CHIR conduct research to assess the impact of federal and state policies to improve health care access and affordability and ensure that health insurance works for the people who need it most. 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
- Blogs
- New Marketplace Rule Details Administration’s Plans for Addressing Consumer Affordability
- Emerging State Data Paint a Bleak Picture of 2026 Marketplace Enrollment
- Early Signals Suggest a Second Year of Double-Digit Marketplace Premium Increases
- What’s Worse than a Ghost Network Plan? A No-Network Plan
- As Federal Protections Stall, States Move to the Front Lines to Alleviate Medical Debt
- Behavioral Health Parity Takes Step Backward Under Trump
- Publications
- Diabetes Considerations for Essential Health Benefits (EHB) Request for Information (RFI)
- CMS Prior Authorization and Interoperability Proposed Rule: What Diabetes Patient Advocates Need to Know
- Fact Sheet: The Proposed Marketplace Rule Would Make Health Care Less Affordable and Add Red Tape
- What Consumers Need to Know About Health Coverage That Doesn’t Comply with the Affordable Care Act
- Fact Sheet: The Proposed Marketplace Rule Would Make Health Care Less Affordable and Add Red Tape
- What Consumers Need to Know About Health Coverage That Doesn’t Comply with the Affordable Care Act
What's New
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...
New Marketplace Rule Details the Administration’s Plans for Addressing Consumer Affordability
New Trump administration regulations give unprecedented flexibilities to insurance companies to incr...
Emerging State Data Paint a Bleak Picture of 2026 Marketplace Enrollment
As Congressional inaction on premium tax credit enhancements caused net marketplace premiums to spik...
Events
Diabetes Treatment Innovation: Moving from Standards of Care to Coverage
On Thursday, November 6, 2025 Georgetown University’s Center on Health Insurance Reforms...
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) ...
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...
Tackling Prior Authorization Barriers for Patients with Diabetes
The second installment of a series of webinars on how private health insurance coverage impacts peop...
News
Publications
Leveraging Partnerships to Navigate Emerging Diabetes Coverage, Access, and Affordability Challenges
CHIR, in collaboration with Families USA released a resource and companion videos documenting the challenges that people with insulin-requiring diabetes are facing as a result of federal policy changes to Medicaid and marketplace coverage as well as ways to protect diabetes access and affordability.
Diabetes Considerations for Essential Health Benefits (EHB) Request for Information (RFI)
The following are Essential Health Benefits considerations for people with insulin-requiring diabetes.
Emerging State Data Paint a Bleak Picture of 2026 Marketplace Enrollment
As Congressional inaction on premium tax credit enhancements caused net marketplace premiums to spike in 2026, initial sign-ups declined. Emerging data from state marketplaces show that enrollment has continued to decline, with more dramatic drop-offs once premiums came due.
The Trump Administration’s New ACA Marketplace Rule Gives Insurance Companies Flexibility and Consumers Red Tape
New Trump administration regulations give unprecedented flexibilities to insurance companies to increase patient cost sharing and sell “non-network” plans where all providers are out-of-network, while imposing new paperwork burdens for consumers that will cause millions to lose coverage.