On March 10, 2025, the Trump administration released draft rules with policy changes for the Affordable Care Act Marketplaces and insurance rules. In their latest Expert Perspective for the State Health & Value Strategies program, Sabrina Corlette and Jason Levitis review the implications of the proposal for State-Based Marketplaces and state insurance regulators.
Last year, reports emerged of unscrupulous health insurance brokers enrolling people in marketplace coverage or switching enrollees to different plans without permission. In their latest piece for the Commonwealth Fund, CHIR’s Justin Giovannelli and Stacey Pogue explore how policymakers can crack down on broker misconduct.
As the federal budget reconciliation process heats up, Congressional committees will soon be drafting legislation that spells out the program cuts Congress will need to offset the cost of extending existing tax cuts. CHIR’s Karen Davenport discusses the growing body of research around the important role health insurance plays in the health and financial status of American families.
A case before the Supreme Court and a new Secretary of the U.S. Department of Health & Human Services could substantially weaken the ACA’s guarantee of no-cost preventive services in private insurance. Experts Sabrina Corlette and Tara Straw provide a roadmap for state policymakers to protect their residents, in a recent article for State Health and Value Strategies.
The Notice of Benefit & Payment Parameters prescribes standards and rules that govern insurers and Marketplaces under the ACA. This annual regulation, that went into effect January 15, represents a final set of health insurance policies from the Biden administration focusing on quality and affordability. In their latest piece for Health Affairs Forefront, Sabrina Corlette and Jason Levitis discuss this final rule and what it means.
President Trump’s price relief memorandum calls for reducing unnecessary administrative costs and rent-seeking behavior in health care. With federal agencies empowered to gather information and potentially drive reforms to eliminate wasteful spending, CHIR’s Christine Monahan discusses how they can effectively implement this directive by investigating intermediaries like pharmacy benefit managers (PBMs) and third-party administrators (TPAs) that increase consumer and employers costs through profit-driven practices.
Right before an early executive order signaling the Trump Administration’s interest in reducing access to health coverage, House Budget Committee leadership shared a wish-list of spending cuts that will severely damage health insurance affordability for marketplace enrollees. CHIR’s Karen Davenport considers the full picture for coverage policy.
A snowy first week of January gave us plenty of time to read some of the last research from 2024. This month we read about prescription drug pricing and the impacts of rebates on consumers, as well as market shares of Medicare Advantage carriers.
The Association of Health Care Journalists has released an updated, interactive 50-state Media Guide to help journalists navigate the complexities of the U.S. health care system, offering detailed data on health insurance coverage, state policies, and regulatory agencies. Developed in partnership with Georgetown University’s Center on Health Insurance Reforms, the guide includes a national overview, state-level resources, and essential tools for reporting on health coverage and consumer experiences.
The Biden administration has advanced several pro-competition reforms aimed at lowering health care costs and increasing consumer choice, an area of potential alignment with the incoming Trump administration. CHIR’s Kennah Watts discusses competition as a bipartisan policy and what the incoming Trump administration can do to support competitive markets and improve health care affordability.
The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.
