Delaware: ACA enrollment *down* 18% in 2026... premiums to go *up* 18% in 2027...
Meanwhile, Celtic/Centene is bailing on the state completely.
Charles Gaba
Healthcare policy, data analysis & snark.
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🚨 ~160,000 #SOUTHCAROLINA ACA enrollees had already lost healthcare coverage as of February 2026...a 30% drop from last year.
Remaining unsubsidized enrollees are looking at an *additional* 17% rate hike in 2027.
🚨 TENNESSEE: Over 72,000 ACA enrollees lost healthcare coverage in the first 2 months of 2026 alone.
Among those remaining, unsubsidized enrollees are set to be hit with *another* ~16% rate hike in 2027.
UTAH: The good news (really!): ACA premiums to only go up by 6.7% on average next year.
The bad news: Over 63,000 Utah enrollees have already been priced out of the market altogether regardless.
🚨 WYOMING: The "good" news: Wyoming's avg. official ACA premiums are "only" going up 11.3% next year...
The bad news: unsubsidized enrollees will be paying an AVERAGE of ~$1,350/month in premiums alone. 👀
🚨 A third of Oklahoma ACA enrollees had already lost healthcare coverage as of February, or over 85,000 people.
The rest are facing avg 2027 rate hikes of 21.5% for unsubsidized enrollees.
NORTH DAKOTA: Unsubsidized ACA premiums expected to jump another 19.6% next year, due in part to...
"...Expected deterioration of the...overall health status...related to the expiration of enhanced premium tax credits."
🚨 NEW MEXICO: ACA enrollment is still 6% *higher* for the year...
...but premiums are still set to jump by 25% next year for the small number of unsubsidized enrollees.
🚨 NEW JERSEY: Unsubsidized ACA enrollees facing 20.4% avg. premium hikes in 2027
GOP's failure to extend improved subsidies has already led to 56,000 losing coverage so far this year
🚨 NEBRASKA: Nearly 30,000 ACA enrollees have lost healthcare coverage due to Republicans letting the improved tax credits expire.
Those remaining are facing 13.6% average premium hikes next year for unsubsidized enrollees.
🚨 MONTANA: Unsubsidized ACA enrollees facing average premium hikes of more than 23% in 2027.
26,000 Montanans will have to find a new insurance carrier as PacificSource is pulling out entirely
🚨 Over 68,000 MISSISSIPPI residents have lost ACA healthcare coverage so far this year...a 26% drop vs. a year yearlier.
Those remaining are looking at premium hikes of 21% on average for unsubsidized enrollees.
Kansas: Unsubsidized enrollees facing ~20% ACA rate hikes in 2027
Over 36,000 have already lost coverage thanks to Republicans letting the improved subsidies expire.