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ACA Marketplace

Affordable Care Act marketplace analysis, enrollment trends, premium dynamics, subsidy policy, risk adjustment, and actuarial implications.

Recent News

How much more are ~220,000 MARYLAND ACA enrollees *really* paying this year due to Trump/GOP policies? (with important additional data points)

ACA Signups

Women’s Health Insurance Coverage

KFF

From affordability to engagement, these are the topics to watch at AHIP 2026

Fierce Healthcare

Cities sue Trump administration to block final ACA rule

Fierce Healthcare

Cities sue to block ACA rule for increasing uninsured rate

Healthcare Dive

GoHealth files for Chapter 11

Coverager

How much more are ~58,000 MAINE ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

As pro-life pressure ramps up on Trump, FDA is investigating safety of abortion pill: WSJ

Fierce Healthcare

Connecticut: Preliminary 2027 unsubsidized ACA rate changes: Indy market up 15.7%, sm. group up 17.8%

ACA Signups

How much more are ~290,000 LOUISIANA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

How much more are ~90,000 KENTUCKY ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

Oregon can't catch a break: Preliminary 2027 unsubsidized ACA rate filings: Indy mkt up 17%, sm. group mkt up 16%

ACA Signups

How much more are ~190,000 KANSAS ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

How much more are ~120,000 IOWA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

Commonwealth Fund: 21% of adults experienced a coverage denial in the past year

Fierce Healthcare

How much more are ~300,000 INDIANA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

How much more are ~440,000 ILLINOIS ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

How much more are ~120,000 IDAHO ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

How much more are ~23,000 HAWAII ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

Integrity launches health plan for independent agents and advisors

Coverager

CDC: 2025's uninsured rate stayed flat at 8.3%

Fierce Healthcare

How much more are 950,000 GEORGIA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

Washington State: Preliminary 2027 unsubsidized ACA rate filings: up 22.4% (yikes)

ACA Signups

Uninsurance rate holds flat in 2025: CDC

Healthcare Dive

How much more are 4.5 million FLORIDA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

Vermont: First out of the gate with preliminary 2027 ACA rate filings: up 6.5% on average

ACA Signups

How much more are DISTRICT OF COLUMBIA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

How much more are DELAWARE ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

How much more are CONNECTICUT ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups

PacificSource latest insurer to exit the ACA

Healthcare Finance
Featured Analysis

ACA Marketplace 2026: Subsidy Cliff, Enrollment Shock, and What Actuaries Need to Know

Enhanced subsidies expired, enrollment dropped to ~23M, median premiums up 18%, Aetna exited. Deep actuarial analysis of risk pool dynamics, adverse selection, state subsidies, and GLP-1 cost pressures.

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