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Affordable Care Act marketplace premiums are on course for a median 14% increase in 2027, according to a KFF analysis of 77 health plans' preliminary rate filings in 16 states and the District of Columbia.
That would make back-to-back years of double-digit hikes in the individual market, arriving just as enrollment has fallen by roughly 3 million people to 19.2 million.
What complicates it is a market that still carries more enrollees than any year before 2024. What's behind the spike Two forces are at work, and neither is easy to solve.
Insurers point to the expiration of enhanced ACA subsidies as a primary driver, but rising medical costs are doing at least as much work: the KFF analysis notes that the underlying cost of medical care and prescription drugs climbed 10% for 2027, above the 8% average growth seen over recent years.
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