CHIR Welcomes New Faculty
We are delighted to welcome two new faculty members: Madison Harden and Abigail Knapp.
No Surprises Act Arbitrators Vary Significantly In Their Decision Making Patterns
IDR entities have come to play an instrumental role in OON payments, but entities’ determinations and decision-making practices lack transparency. In their latest piece for Health Affairs Forefront, Kennah Watts and Jack Hoadley analyze variation IDR entities’ decision-making patterns and discuss the implications for the IDR process.
Final Federal Marketplace Integrity Rule: Implications for States
Recent federal rules are projected to cause up to two million people to lose health insurance and raise premiums for many more. In a new article for the State Health & Value Strategies project, Sabrina Corlette and Tara Straw dissect the rule and its implications for states.
A Setback, Not a Defeat: Our Work to Ensure Access to Affordable, High Quality Health Care Continues
President Trump’s signature on H.R. 1, the budget reconciliation bill, will lead to upwards of 17 million people losing their health insurance and millions more with higher barriers to accessing care. At CHIR, we’ll be working to minimize the law’s harms, document its effects, and partner with those seeking to reverse its worst abuses.
Explore the Data: Interactive Map of Dental Coverage Through the Marketplaces
Dental coverage offered through the ACA Marketplaces is constantly changing. Building on CHIR’s 2024 analysis of enrollment, premiums, and insurer participation in stand-alone dental plans (SADPs), this new interactive map allows users to dive deeper into state-level data.
Independent Dispute Resolution Process 2024 Data: High Volume, More Provider Wins
While the independent dispute resolution (IDR) process is intended to lead to fair outcomes for out-of-network payment, new analysis demonstrates unexpectedly high use of the IDR process, mostly by private-equity-backed providers that win often and win large. In their latest piece for Health Affairs Forefront, Jack Hoadley, Kennah Watts, and Zachary Baron illustrate trends in the IDR process and explore implications for costs.
Testimony of Sabrina Corlette, J.D. before the U.S. House of Representatives Ways & Means Health Subcommittee – June 25, 2025
The U.S. House of Representatives’ Ways & Means Health Subcommittee recently held a hearing about ways to advance digital health technologies. CHIR expert Sabrina Corlette was one of the invited panelists, warning the committee that, while these new technologies hold promise, consumers can only benefit from them if they have access to affordable, high quality health insurance.
Early 2026 Rate Filings Show Marketplace Policy Changes Contribute to Eye-Popping Rate Increases
This year, insurers are setting their rates for 2026 while Congress and the administration weigh several policies that are projected to cause premiums to spike and the number of people with Marketplace coverage to plummet. In a new blog, CHIR experts investigate early 2026 rate filings and related analysis to explore how insurers are responding to an array of anticipated federal ACA policy changes and uncertainty around them.
Second Verse, Same as the First: Senate Reconciliation Language Failes to Fix Paperwork Burdens, Other Barriers to Marketplace Coverage
With the passage of H.R.1, the House of Representatives’ version of the budget reconciliation bill that will advance President Trump’s domestic policy agenda, all eyes are turned towards the Senate. In a new CHIRblog, ACA experts Karen Davenport, Stacey Pogue, and Sabrina Corlette discuss how draft legislation emerging from the Senate would create enrollment barriers to Marketplace coverage that largely mirror the House’s reconciliation bill.
Indiana’s Extraordinary Legislative Session Exemplifies How Incremental Efforts Can Improve Health Care Affordability
While Indiana lawmakers have been working to reduce health care costs for commercial health insurance for more than a decade, Indiana’s 125th Legislative Session was particularly productive. CHIR experts explore Indiana’s efforts to improve health care affordability, and discuss how this could serve as an example for other states.