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Story perspectives

Rising ACA Premiums Could Slash Enrollment by 26%

4/16/2026

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Story summary
  • Higher health insurance costs are prompting many to drop coverage under the ACA.
  • Wakely Consulting Group reports that 14% of ACA enrollees did not pay their first premium in January 2026.
  • Premiums have surged after the expiration of enhanced federal subsidies.
  • The trend could shrink ACA enrollment by 17% to 26% in 2026.