Ana Wil D. Matthews

Since the start of the year, a lot of people have just not paid and have been dropping out.

Actuaries and insurers are projecting that overall enrollment could drop by maybe a quarter this year versus what it was last year, which was around 24 million.

So what it really shows is just turmoil, a shrinking market, and maybe an unstable market for the moment.

Insurers are right now actually making their filings with state regulators for their rates for 2027.

And it does seem likely they're going to ask for significant premium increases in a number of markets.

That said, very few people in the Affordable Care Act marketplace actually pay the full premium.

Most people still do get a subsidy.

And so premiums go up, but they do not bear the full brunt of that.

Thanks for listening.