ACA Marketplace Insurers Propose Median 15% Premium Increase for 2027
Insurers participating in ACA Marketplaces have proposed a median premium increase of 15% for 2027, according to KFF's analysis of 276 insurers' publicly available rate filings across all 50 states and DC. The rate filings represent proposed increases subject to state and federal review before finalization. These increases will take effect for coverage beginning January 1, 2027, during the fall 2026 open enrollment period. Final approved rates may differ from proposed rates after regulatory review.
While ACA Marketplace rate trends do not directly affect Medicaid managed care operations, they signal broader health insurance cost pressures that may influence state budget decisions, Medicaid eligibility patterns, and health plan parent company performance.
Managed Care · Finance
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