Industry
ACA Marketplace Insurers Propose 14% Premium Increase for 2027
Insurers participating in ACA Marketplaces are proposing a median premium increase of 14% for 2027, based on preliminary rate filings analyzed in 16 states and DC. This follows steep increases in 2026, bringing total premium growth to over one-third between 2025 and 2027. The analysis reflects preliminary filings subject to final regulatory review. Final rates will be determined later in 2026 ahead of the 2027 plan year.
Why it mattersPremium trend pressure in the commercial ACA market often signals broader medical cost inflation that can affect Medicaid managed care rate adequacy discussions and MCO financial projections.