ACA Marketplace Enrollment is Down in 2026—But All of the Data Isn’t in Yet
2026 marks the first year since 2020 that enrollees in the Affordable Care Act Marketplaces do not have access to...
Higher Premium Payments or Higher Deductibles: The Tradeoffs ACA Enrollees Face
Some Affordable Care Act (ACA) Marketplace enrollees are choosing between plans that charge higher premium payments and plans with higher...
State-Based Efforts Will Provide Limited Relief from Enhanced Tax Credit Expiration
After failed Senate votes late last year and no subsequent bipartisan agreement, the enhanced premium tax credits expired as of January 1. Some states, particularly those operating...
How Unaffordable is Health Care?
In his latest JAMA Forum column, KFF’s Larry Levitt explores how unaffordable health care is in the U.S. in the...
Recent Trends in Commercial Health Insurance Market Concentration
Commercial health insurance markets remain highly concentrated across coverage types. However, the individual market, which consists mostly of the ACA...
2025 KFF Marketplace Enrollees Survey
Key Takeaways Marketplace enrollees largely see health insurance as very important to their ability to access care, to their financial...
As the 2026 Election Takes Shape, Health Care Is Becoming an Economic Issue for US Voters
In this JAMA Viewpoints column, KFF’s Drew Altman, Ashley Kirzinger and Mollyann Brodie explore the power of health care affordability...
The New ACA Repeal and Replace: Health Savings Accounts
If enhanced premium tax credits under the Affordable Care Act (ACA) are allowed to expire at the end of the...
Mapping the Uneven Burden of Rising ACA Marketplace Premium Payments due to Enhanced Tax Credit Expiration
The Affordable Care Act (ACA) offers premium tax credits to help make health insurance more affordable. Under original Affordable Care...
Deductibles in ACA Marketplace Plans, 2014-2026
Information on plan cost-sharing provisions for the plans offered in federally-facilitated and partnership exchanges was downloaded from HealthCare.gov. Simple averages...

















