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HomeHealth InsuranceMore ACA Premium Spikes to Come in 2027 Amid Federal Policy Changes

More ACA Premium Spikes to Come in 2027 Amid Federal Policy Changes


By Stacey Pogue, Abigail Knapp, and Justin Giovannelli

After raising 2026 premiums for Affordable Care Act (ACA) plans by more than 20 percent before tax credits are applied, health insurers have proposed a 15 percent median rate increase for 2027. These back-to-back double-digit rate increases are the highest we’ve seen in the Marketplace since 2018 and follow five years of relatively flat premiums.

In a new blog post for the Commonwealth Fund, CHIR’s Stacey Pogue, Abigail Knapp, and Justin Giovannelli examine what is driving these big 2027 rate increases and the ongoing impacts of federal actions that slashed ACA premium tax credits at the end of 2025 and caused enrollment to drop sharply this year.

You can read the full blog post here.

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