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ACA marketplace premiums set to rise again in 2027

A photo of 2 female medical professional figurines, both female. One dressed in green scrubs and writing in a patient chart. The other in an old fashioned white nurse uniform carrying medication. Both are standing near a large pink piggy bank.
Photo: Peter Dazeley

A Peterson-KFF analysis shows ACA premiums climbing in 2027 due to rising medical costs, inflation, higher utilization, and shifts in the marketplace risk pool.

Affordable Care Act (ACA) marketplace premiums are expected to increase by up to 14% again in 2027, according to a new analysis of preliminary rate filings from Peterson-KFF.

The review finds that insurers across multiple states are proposing notable premium hikes driven by rising medical spending, broader economic pressures, and changes in

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