ACA enrollment may fall by 5 million people this year, analysis finds
Enrollment in the Affordable Care Act marketplace is projected to decrease by about 5 million people this year. This decline is attributed to increased costs resulting from the expiration of federal subsidies for healthcare premiums. The analysis indicates that enrollment could drop to approximately 17.5 million in 2026, marking a significant reduction from previous years.
- ▪Enrollment in the ACA marketplace may fall to 17.5 million in 2026 from 22.3 million last year.
- ▪This represents a 21.5% decrease in enrollment.
- ▪The drop is linked to higher healthcare premiums due to the lapse of federal subsidies.
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Enrollment in the Affordable Care Act marketplace may ultimately fall by about 5 million people this year relative to 2025, as Americans face sharply higher costs triggered by a lapse in federal subsidies for healthcare premiums, according to a new study.Marketplace enrollment could decline to roughly 17.5 million people in 2026 from 22.3 million people last year, a 21.5% drop, according to KFF, a nonpartisan health policy research group. Its analysis, published Tuesday, is based on federal data and premium payment estimates from Wakely Consulting Group, a healthcare consultancy and actuarial shop.The estimate comes as healthcare premiums for insurance plans bought on the Affordable Care Act marketplace — which is leveraged by the self-employed, gig workers, early retirees and others —…
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