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In Preliminary Rate Filings, ACA Marketplace Insurers Largely Propose Double-Digit Premium Increase For 2027, Following Steep Climb

ACA Marketplace insurers are proposing a median premium increase of 14% for 2027— indicating a likely second consecutive year of double-digit increases, according to a new analysis of preliminary rate filings in 16 states and DC. If these increases hold, typical premiums for insurers participating in the ACA Marketplaces would jump by more than one-third between 2025 and 2027.

The Average Marketplace Deductible Grew in 2026, With Shifts to Higher-Deductible Plans as Enhanced Credits Ended

The average Affordable Care Act Marketplace deductible experienced the steepest increase in history — growing by 37% or over $1,000, from $2,759 in 2025 to $3,786 in 2026 as enhanced premium tax credits expired, according to a new KFF analysis. After the enhanced tax credits ended, many Marketplace shoppers shifted toward lower-premium, higher-deductible plans.

An image of text is an excerpt from Cynthia Cox's quick take which reads, "While the Trump administration attributes this drop in enrollment to their attempts to address fraud, this coverage loss happened at the same time millions of people faced steep increases in their premium payments — often in the double or even triple digits — with the expiration of enhanced tax credits."

ACA Marketplace Enrollment Is Down By 3 Million After Big Jump in Premium Payments

ACA Marketplace Survey Feature Image - Website

Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees

health information and trust

Health Information and Trust Tracking Poll: Update on Common Vaccine Myths

This poll finds that people without a trusted health care provider, and those who regularly use social media or AI for health information, are generally more likely than others to believe false claims about several vaccine myths.

From Drew Altman: Americans May Be Smarter About Vaccines Than You Think

In a new column that analyzes recent KFF polling, Founding President and CEO Dr. Drew Altman concludes that only a sliver of the public hold definitive anti-science, anti-vaccine views, and are greatly outnumbered by the people who believe established science, with even more Americans stuck in a “muddled middle.”

Poll: Use of Social Media, AI For Health Information

KFF Health News: Efforts To End School Vaccine Mandates Hit a Wall in Florida

Health Information and Trust Polling Dashboard

Quick Take

Jul 6, 2026

The Trump Administration Continues to Advance Incremental Site-Neutral Payment Reforms
Quick Take

Jun 30, 2026

States Sue CMS Over Medicaid Work Requirements Rule, Citing Departure from Earlier Guidance on Medical Frailty
Quick Take

Jun 29, 2026

ACA Marketplace Enrollment Is Down By 3 Million After Big Jump in Premium Payments

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new and noteworthy

KFF’s Business of Health Podcast: AI: Rewiring the Machine

What to Know About Recent Federal Actions Involving State Medicaid Program Integrity

KFF Announces Leadership Transition

New KFF Poll Examines Patterns of Belief Across Common Vaccine Myths

How Unaffordable is Health Care?

Heading into the 2026 midterms, KFF’s survey research shows that health care affordability is a top issue for voters. Why and how did care get so expensive? A new three-part video series from KFF helps people understand the rising cost of health care in the U.S., from the macro level to the issues facing everyday Americans. Drawing on KFF policy analysis and polling and narrated by KFF experts, the videos look at the underlying drivers of health care spending, the true cost of employer-sponsored health insurance and whether the Affordable Care Act has delivered on its promise.