
The ACA created health insurance marketplaces where people can buy affordable health plans with help paying for them. The center's experts research how well these policies work and suggest improvements. Their work helps policymakers understand what's working and what needs fixing in health insurance.
The Center on Health Insurance Reforms at Georgetown University studies how the Affordable Care Act (ACA) affects health insurance. The ACA created health insurance marketplaces where people can buy affordable health plans with help paying for them. The center's experts research how well these policies work and suggest improvements. They write reports and blog posts about health insurance costs, coverage options, and policy changes. Their work helps policymakers understand what's working and what needs fixing in health insurance. They focus on making sure people can get affordable, quality health coverage. The center tracks enrollment numbers, premium costs, and how policy changes affect consumers. They also study small business health insurance challenges and state-level policy responses. Their research helps inform decisions about health insurance policy at federal and state levels.
{"full_text":"Affordable Care Act and Marketplaces | Center on Health Insurance Reforms \n\nAffordable Care Act and Marketplaces\n\nThe 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. \n\nWhat We Do\n\nOur 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.
\n\nWhat We’re Working On\n\nBlogs\n\n How States are Preserving Science-Backed Recommendations for Preventive Care and Vaccines \n\n The Clock is Ticking. Can Congress Prevent an Imminent Spike in Insurance Premiums on January 1? \n\n Cash is No Substitute for Coverage: Why Health Insurance Matters \n\nPublications\n\n Recommendations for States’ Efforts to Mitigate Harms Caused by Federal Policy Actions \n\n The Crucial Role of $0 Premium Plans in the Affordable Care Act Marketplaces \n\nWhat's New\n\nBlog Posts\n\n Proposed Marketplace and Insurance Changes in the 2027 Notice of Benefit & Payment Parameters: Implications for States \n\n 2026-02-19 by Sabrina Corlette \n\n The Trump administration has proposed a sweeping set of policy and operational changes for the Affor...
\n\n Affordable Care Act and Marketplaces , Health Insurance Coverage \n\n NBPP , Notice of Benefit & Payment Parameters , State Health & Value Strategies , state-based marketplaces \n\n Clues in State Data Suggest Declines in Early Marketplace Enrollment Data May Be Just the Tip of the Iceberg \n\n 2026-01-28 by CHIR Faculty \n\n Early open enrollment data provide a glimpse into how consumers are responding to increased premiums... \n\n Affordable Care Act and Marketplaces , Health Insurance Coverage \n\n affordable care act , consumers , health insurance marketplace , marketplace , open enrollment \n\n Recommendations for States’ Efforts to Mitigate Harms Caused by Federal Policy Actions \n\n 2025-12-09 by CHIR Faculty \n\n Recent federal policy changes will result in millions of people losing health insurance coverage.
CH... \n\n Affordable Care Act and Marketplaces , Health Insurance Coverage , Patient and Consumer Support \n\n health insurance marketplace , NAIC , national association of insurance commissioners \n\n September-October Research Roundup \n\n 2025-11-13 by Leila Sullivan \n\n This fall, as leaves changed, election season heated up, and open enrollment approached, we dove int...
\n\n Affordable Care Act and Marketplaces , Corporatization of Health Care , Costs and Competition , Health Insurance Coverage \n\n affordable care act , consolidation , enhanced premium tax credits , marketplace premiums , private equity \n\nEvents\n\n Navigating New Coverage Changes: What People With Diabetes Need to Know \n\n September 18, 2025 \n\n at \n\n 1:00 pm \n\n On Thursday, September 18, 2025 Georgetown University’s Center on Health Insurance Reforms (CHIR) ... 2 million.
Here’s why that may change \n\n February 4, 2026 \n\n Affordable Care Act and Marketplaces , Health Insurance Coverage \n\nPublications\n\n Health Care Costs for Small Employers: Analysis of Market Challenges and Policy Solutions \n\n February 9, 2026 \n\n In this report, researchers partnered with health actuaries at Wakely Consulting Group (Wakely) to assess the current state of the market for small employer health insurance, the factors driving its decline, and the scope of potential policies to improve coverage affordability for small businesses and their workers. \n\n Affordable Care Act and Marketplaces , Costs and Competition , Employer-sponsored Insurance , Health Insurance Coverage \n\n affordable care act , employer-based health insurance , ICHRAs , small-group market \n\n Recommendations for States’ Efforts to Mitigate Harms Caused by Federal Policy Actions \n\n December 4, 2025 \n\n This report provides a set of recommendations for states to mitigate the loss of health insurance coverage resulting from federal policy changes.
\n\n Affordable Care Act and Marketplaces , Health Insurance Coverage \n\n The Crucial Role of $0 Premium Plans in the Affordable Care Act Marketplaces \n\n October 2, 2025 \n\n CHIR fact sheet summarizes available evidence on the impact of $0 premium Marketplace plans on health insurance coverage and premiums. \n\n Affordable Care Act and Marketplaces , Health Insurance Coverage \n\n New Trump Administration Policies Weaken the Health Insurance Marketplace for Consumers — Including Workers Who Shop on Their Own \n\n October 2, 2025 \n\n This article discusses Individual Coverage Health Reimbursement Arrangements (ICHRAs) and explains how new federal policy changes that threaten the stability of the ACA marketplaces undermine ICHRAs as a coverage option for small businesses and their employees.
2 million. edu/the-clock-is-ticking-can-congress-prevent-an-imminent-spike-in-marketplace-premiums-on-january-1/","anchor_text":"The Clock is Ticking.
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