Another big premium hike on the horizon - Report - MDSpire

Another big premium hike on the horizon

  • By

  • Isabella Cueto

  • Lizzy Lawrence

  • July 8, 2026

  • 0 min

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Upcoming Significant Increase in Premium Costs

Overview

Affordable Care Act Marketplace insurers are proposing a median premium increase of 14% for 2027, marking a second consecutive year of double-digit hikes. This rise is attributed to the expiration of enhanced premium tax credits and a shift in the enrollment demographic towards a sicker population.

Background

The rising costs of health insurance premiums are a significant concern for many Americans, particularly as health care affordability ranks among voters' top issues. The expiration of pandemic-era tax credits is expected to exacerbate this situation, impacting millions of enrollees in the ACA Marketplace.

Data Highlights

No numerical data available in the source material.

Key Findings

  • Insurers are proposing a median premium increase of 14% for 2027.
  • This marks the second consecutive year of double-digit premium hikes in the ACA Marketplace.
  • The expiration of enhanced premium tax credits is a significant factor contributing to the increase.
  • A smaller, sicker pool of enrollees remains after healthier individuals have left the marketplace.
  • Family premiums for employer-provided health insurance have increased by over 25% since 2020.

Clinical Implications

Healthcare providers should be aware of the increasing financial burden on patients due to rising premiums.

Conclusion

The anticipated rise in health insurance premiums highlights ongoing challenges in the U.S. healthcare system.

Related Resources & Content

  1. Kaiser Family Foundation (KFF), In Preliminary Rate Filings, ACA Marketplace Insurers Largely Propose Double-Digit Premium Increase For 2027, Following a Steep Climb This Year
  2. Stat News, Affordable Care Act insurers want more premium increases as enrollment sags
  3. Eyecare Business, Prevent Blindness Issues Statement on Impacts of Expiring Tax Credits for ACA Marketplace Health Insurance Plans
  4. Associated Press Health — New poll shows where blame will fall if ACA subsidies expire
  5. Annual Family Premiums for Employer Coverage Rise 6% in 2025, Nearing $27,000, with Workers Paying $6,850 Toward Premiums Out of Their Paychecks | KFF
  6. What We Know So Far About 2026 ACA Marketplace Enrollment, Premiums, and Deductibles | KFF
  7. Plan Year 2026 Marketplace Plans and Prices Fact Sheet | CMS
  8. Preventive Health Care Services for Adults Covered Under the ACA | KFF
  9. Prescription Medication Use, Coverage, and Nonadherence Among Adults Age 65 and Older: United States, 2021–2022

Original Source(s)

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