A 3-Part Strategy for Better Health Insurance: Reducing Costs, Complexity, and Corporate Abuses
Consumers have experienced unsustainable increases in healthcare costs over the last year. In their ...
Affordable Care Act and Marketplaces
The 2010 Affordable Care Act (ACA) ushered in significant changes to health insurance markets, including new health insurance Marketplaces where people can get low-cost, comprehensive health plans, alongside new consumer protections such as guaranteed issue, rating requirements, and a ban on preexisting condition exclusions. These reforms, in addition to federal financial assistance to help pay for coverage, are the foundation upon which millions of Americans now obtain their health insurance. Our team of nationally recognized experts has closely followed the impact of the ACA since its enactment, and continues to investigate policy proposals that improve people’s access to affordable, high quality health coverage.
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
- *NEW*: A 3-Part Strategy for Better Health Insurance
- Blogs
- Publications
- Final Notice of Benefit & Payment Parameters: Implications for State-based Marketplaces and Insurance Regulators
- 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 Health Insurance Risk Pooling Is, and Why it’s Key to Maintaining Affordability
What's New
Blog Posts
CHIR and Families USA Release Marketplace Open Enrollment Resources for Diabetes Stakeholders
Finding health coverage that provides affordable access to care and treatment is critical for people...
Will Insurance Plan Coverage Policies Help Clarify ACIP Confusion? Probably Not
The vaccine landscape is volatile, especially after recent administrative changes to the Advisory Co...
No Good Options: In the Wake of Marketplace Affordability Woes, Consumers Face Onslaught of Misleading Marketing of Limited Benefits Products
Amid affordability challenges, consumers may be increasingly vulnerable to misleading marketing tact...
Events
Preparing for Marketplace Open Enrollment: What Diabetes Providers and Assisters Need to Know
On September 17, 2026, Georgetown University’s Center on Health Insurance Reforms (CHIR) and Famil...
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) ...
News
Publications
Insights from a Multi-Stakeholder Study of Individual Coverage HRAs: Considerations for Employers and Employees
Georgetown’s Center on Health Insurance Reforms (CHIR), with support from the National Institute for Health Care Reform, released an issue brief that provides insights into employers’ and employees’ experiences with Individual Coverage Health Reimbursement Arrangements (ICHRAs), recently rebranded as CHOICE Arrangements.
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.
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.