Friday, October 23, 2026
HomeHealth InsuranceState-to-Federal Affordability Roadmap Series | Center on Health Insurance Reforms

State-to-Federal Affordability Roadmap Series | Center on Health Insurance Reforms


Rising costs and market consolidation are undermining health care affordability and access nationwide. States have piloted solutions such as transparency, pricing reforms, and market oversight. Despite some success, states face both geographic and legal limitations in constraining system-wide cost drivers. This three-part brief series draws on state experience to outline a federal roadmap for advancing more comprehensive, sustainable cost reduction strategies leveraging state innovation in the areas of: 

  1. Ownership Transparency
  2. Hospital Fair Pricing Reforms
  3. Transaction Oversight of Hospitals and Providers

Each brief overviews the issue and its implications for cost containment, provides successful state examples, and walks through considerations for implementation at a federal level. The entire series can be found here and the individual briefs can be found here: ownership transparency, hospital fair pricing, and transaction oversight.

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