Another big premium hike on the horizon
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By
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Isabella Cueto
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Lizzy Lawrence
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July 8, 2026
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Clinical Scorecard: Upcoming Significant Increase in Premium Costs
At a Glance
| Category | Detail |
|---|
| Condition | Health Insurance Premiums |
| Key Mechanisms | Increased costs due to the expiration of enhanced premium tax credits and a sicker insurance pool. |
| Target Population | Individuals enrolled in Affordable Care Act Marketplace and employer-provided health insurance. |
| Care Setting | Health insurance marketplace and employer health plans. |
Key Highlights
- 14% median increase in ACA Marketplace premiums projected for next year.
- Second consecutive year of double-digit premium hikes.
- Family premiums have increased by over 25% since 2020.
- Health care affordability is a top concern for voters in 2026.
Guideline-Based Recommendations
Diagnosis
Management
Monitoring & Follow-up
Risks
- Increased premiums may lead to reduced access to health care for some individuals.
Patient & Prescribing Data
Individuals enrolled in ACA Marketplace and employer-based insurance.
Higher premiums may limit treatment options and access to care.
Clinical Best Practices
- Monitor changes in health insurance premiums and their impact on patient access.
- Advocate for policies that enhance affordability and accessibility of health care.
Related Resources & Content
