Obamacare Premiums Expected to Jump Again in 2024

WHO:

IJR - KFF (Kaiser Family Foundation) is involved in estimating the premium increases.

ABC News Business - Affordable Care Act insurers are proposing premium increases.

WHAT:

AP - The median proposed premium increase for 2027 is 14%, which is lower than the previous year's median proposed rate change of 20%.

healthsystemtracker.org - The median proposed rate change for 2026 was 18%, and the finalized rate change was 20%.

healthsystemtracker.org - Premium changes for 2027 among the 77 ACA Marketplace participating insurers range from 1% to 52%, with most proposed changes falling between 10% and 20%.

healthsystemtracker.org - Insurers project that the cumulative increase in monthly premium payments for enrollees with incomes just above four times the federal poverty level will be 41% over two years.

AP - The median proposed premium increase for 2027 is 14% across the 77 insurers in the ACA program that have submitted rate filings.

AP - The median rate increase for 2026 was 20%.

AP - Households with incomes at or above 400% of the poverty level, approximately $63,000 per year for an individual or $129,000 for a family of four, will face significant cost increases.

AP - The overall ACA marketplace shrunk by more than 2.5 million people over the past year.

IJR - Obamacare health insurance premiums are expected to increase by double digits in 2027.

ABC News Business - A new analysis indicates that insurers are likely to propose another year of double-digit premium increases.

NBC News - ACA enrollment fell by about 3 million people this year, marking the first significant drop in coverage since the program's launch.

WHEN:

IJR - Premium increases are projected for the year 2027.

NBC News - The drop in ACA enrollment occurred this year.

WHY:

healthsystemtracker.org - Insurers cite rising healthcare costs, general economic inflation, and labor shortages as key factors driving premium increases for 2027.

healthsystemtracker.org - The expiration of enhanced premium tax credits at the end of 2025 is expected to lead to a higher average morbidity in the risk pool for 2027.

AP - Insurers cited rising healthcare costs, federal regulatory changes, and the expiration of pandemic-era enhanced subsidies as the main factors driving premiums higher.

NBC News - The reasons for the drop in enrollment and the anticipated premium increases are not specified in the articles.

HOW:

healthsystemtracker.org - Insurers must submit rate filings to state regulators detailing expectations for premium rate changes for individual market health plans annually.

AP - Insurers must send filings to regulators every year explaining expected premium rate changes for individual market health plans.

ABC News Business - The analysis of early rate filings is the method used to assess the likelihood of premium increases.

(UPDATED July 9, 2026 06:19 UTC)

The median proposed premium increase for 2027 is set at 14%, which is a decrease from last year's median increase of 20%. Among the 77 insurers participating in the ACA Marketplace, proposed premium changes for 2027 range from 1% to 52%, with most falling between 10% and 20%. Insurers attribute these increases to rising healthcare costs, economic inflation, and labor shortages, while also anticipating that the expiration of enhanced premium tax credits at the end of 2025 will impact the risk pool for the upcoming year.

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(UPDATED July 8, 2026 19:26 UTC)

The median proposed premium increase for 2027 across the 77 insurers in the ACA program is set at 14 percent, following a higher median rate increase of 20 percent for 2026. Households earning at or above 400 percent of the poverty level, which is about $63,000 for individuals and $129,000 for families of four, will experience significant cost increases as the overall ACA marketplace has shrunk by more than 2.5 million people over the past year. Insurers attribute these rising premiums to factors like increasing healthcare costs, changes in federal regulations, and the end of pandemic-era enhanced subsidies, and they are required to submit filings to regulators each year detailing their expected rate changes for individual market health plans.

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(UPDATED July 8, 2026 16:31 UTC)

Insurers under the Affordable Care Act are expected to propose premium increases in 2027, with estimates indicating that these hikes could reach double digits. This comes on the heels of a significant drop in ACA enrollment, which fell by about 3 million people this year, marking the first notable decrease since the program began. While the reasons behind both the enrollment decline and the anticipated premium increases remain unspecified, early rate filings are being analyzed to gauge the likelihood of these changes.