Understanding the Extraordinary Increase in ACA Premiums in 2026
12.2025 / By Urban Institute Health Policy Center
Marketplace premiums have increased by 21.7% in 2026, a sharp contrast to the average 2% growth from 2020 through 2025. This brief analyzes the reasons for the sharp increase in Marketplace premiums, including medical trends, the expiration of enhanced premium tax credits, and policy changes.
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