The Final 2025 Notice of Benefit and Payment Parameters: Implications for States

The Centers for Medicare & Medicaid Services have recently finalized rules and standards governing health plans and Marketplaces under the Affordable Care Act. In a recent Expert Perspective for the State Health & Value Strategies project, CHIR’s Sabrina Corlette and the Urban Institute’s Jason Levitis summarize provisions that have implications for states.
Short-Term, Limited Duration Insurance Final Rule: Considerations for States
Consumer Protections Meet Political Pushback: Lessons from States Studying Facility Fees

A growing number of states are taking action to reform facility fee billing practices, but opposition from hospital associations can stall these efforts. Several states have enacted legislation mandating facility fee studies instead of reforms. CHIR’s Rachel Swindle explores some lessons learned from these states and how studies can be leveraged to lead to meaningful consumer protections.
April Research Roundup: What We’re Reading
CHIR Welcomes Two New Faculty Members, Amy Killelea and Leila Sullivan
CHIR is delighted to welcome two new faculty members: Amy Killelea and Leila Sullivan.
Ensuring Access to Behavioral Health Providers
Evidence On Private Equity Suggests That Containing Costs And Improving Outcomes May Go Hand-In-Hand

A growing body of evidence suggests private equity investments in health care have raised provider prices and reduced care quality in certain settings. In a new Health Affairs Forefront article, Linda Blumberg and Kennah Watts look at the track record of private equity acquisitions and how cost-containment efforts could help mitigate private equity’s influence and improve patient outcomes.
State Efforts To Improve Price Transparency

Federal regulations require hospitals and insurers to publish negotiated prices. States are also playing a role in this effort by monitoring compliance with the federal rules and implementing other policies to educate consumers and improve this cost-containment tool. In their recent Health Affairs Forefront article, Maanasa Kona and Nadia Stovicek look at state actions to promote price transparency.
Final 2025 Payment Notice: Marketplace Standards And Insurance Reforms

The U.S. Department of Health & Human Services recently released a final rule setting standards for the Affordable Care Act Marketplaces and health insurers for plan year 2025. In their latest Health Affairs Forefront article, Sabrina Corlette and Jason Levitis discuss the new Marketplace standards, insurance reforms, and policies concerning Advance Premium Tax Credits.