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New and Noteworthy

How Much and Why ACA Marketplace Premiums Are Going Up in 2026

A new analysis of initial rate filings for Affordable Care Act (ACA) Marketplace plans submitted by 312 insurers in all 50 states and the District of Columbia finds the median proposed increase for 2026 is 18%, more than double last year’s 7% median proposed increase. The proposed rates are preliminary and could change before being finalized in late summer. In addition to rising cost and utilization of services, insurers cited the expiration of enhanced premium tax credits as a significant factor in their rate hikes for next year.

Quick Take

Tariffs Are Driving 2026 Health Insurance Premiums Up

2025 Reconciliation Bill

Health Savings Account Provisions in the 2025 Tax and Spending Law

analysis

Health Insurer Financial Performance in 2023

Survey

Consumer Experiences with Health Insurance

Employer Coverage

Employer Family Premiums Climb to $25,572 in 2024, Survey Finds

Family premiums for employer-sponsored health insurance rose 7% in 2024, matching the 2023 increase, KFF's benchmark Employer Health Benefits Survey finds. Over the previous five years, the cumulative increase in premiums has been similar to the rise in general inflation and workers' wages. The survey also examines deductibles and other cost-sharing, coverage of GLP-1 weight-loss drugs, and more.

Read the News Release

Latest News

Native Americans Want To Avoid Past Medicaid Enrollment Snafus as Work Requirements Loom
The Price Increases That Should Cause Americans More Alarm
KFF Health News' 'What the Health?': Happy 60th, Medicare and Medicaid!
Try This When Your Doctor Says ‘Yes’ to a Preventive Test but Insurance Says ‘No’
Reduced ACA Subsidies May Make It Harder for Young Adults To Afford Coverage

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2018 Employer Health Benefits Chart Pack

Oct 3, 2018
Feature

2018-EHBS-Release-Slides Download…
Premiums for Employer-Sponsored Family Health Coverage Rise 5% to Average $19,616; Single Premiums Rise 3% to $6,896

Oct 3, 2018
News Release

1 in 5 Large Employers Gather Data from Workers’ Mobile Apps, FitBits or Other Wearable Devices San Francisco, Calif. – Annual family premiums for employer-sponsored health insurance rose 5 percent to average $19,616 this year, extending a seven-year run of moderate increases, finds the 2018 benchmark Kaiser Family Foundation Employer Health Benefits Survey released today.
2018 Employer Health Benefits Survey

Oct 3, 2018
Feature

Annual premiums for employer-sponsored family health coverage reached $19,616 this year, up 5% from last year, with workers on average paying $5,547 toward the cost of their coverage. The average deductible among covered workers in a plan with a general annual deductible is $1,573 for single coverage. Fifty-six percent of small ﬁrms and 98% of large ﬁrms oﬀer health beneﬁts to at least some of their workers, with an overall oﬀer rate of 57%.
Corporate health costs don’t look like a crisis

Oct 1, 2018
From Drew Altman

n this Axios column, Drew Altman presents a puzzle around corporate health costs: companies are talking like there is a crisis, but new data doesn’t really show it.
New Analysis Maps Prevalence of Pre-Existing Conditions by Metro Area

Aug 28, 2018
News Release

A new Kaiser Family Foundation analysis maps rates of pre-existing conditions across 129 metropolitan and micropolitan areas in the U.S., finding that even within the same state, the prevalence of such conditions can vary substantially.
Mapping Pre-existing Conditions across the U.S.

Aug 28, 2018
Issue Brief

This brief estimates the share of adults with pre-existing conditions by metropolitan and micropolitan statistical area (MMSA), and finds that in some areas, nearly four in ten have so-called declinable medical conditions that could lead to denials of individual insurance coverage based on pre-ACA underwriting guidelines.
An analysis of out-of-network claims in large employer health plans

Aug 13, 2018
Issue Brief

A new Kaiser Family Foundation brief examines out-of-network claims in large employer plans, and finds that a significant share of inpatient hospital admissions includes bills from out-of-network providers, often leaving patients exposed to "surprise medical bills" and high out-of-pocket costs.
Analysis: For Patients with Large Employer Coverage, About 1 in 6 Hospital Stays Includes an Out-of-Network Bill

Aug 13, 2018
News Release

A new Kaiser Family Foundation analysis of medical bills from large employer plans finds that a significant share of inpatient hospital admissions includes bills from providers not in the health plan’s networks, generally leaving patients subject to higher cost-sharing and potential additional bills from providers.
People who are eligible for ACA premium subsidies make up an increasingly larger share of the individual market

Aug 2, 2018
Feature

Source Kaiser Family Foundation analysis of data from Mark Farrah Associates Health Coverage Portal TM and Centers for Medicare and Medicaid Services (CMS)…
Enrollment in the Individual Insurance Market Continued to Fall in the First Quarter of 2018, With the 12 Percent Overall Decline Concentrated in Off-Exchange Plans

Jul 31, 2018
News Release

Enrollment in the individual insurance market continued to shrink in the first quarter of 2018, declining by 12 percent compared to the first quarter of 2017, according to a new analysis from the Kaiser Family Foundation.

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Native Americans Want To Avoid Past Medicaid Enrollment Snafus as Work Requirements Loom

The Price Increases That Should Cause Americans More Alarm

KFF Health News' 'What the Health?': Happy 60th, Medicare and Medicaid!

Try This When Your Doctor Says ‘Yes’ to a Preventive Test but Insurance Says ‘No’

Reduced ACA Subsidies May Make It Harder for Young Adults To Afford Coverage

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