Obamacare premiums up 35% in two years as 4.6 million cancel plans and 12 insurers exit the ACA Marketplace
ACA Marketplace premiums will rise a median 15% in 2027, following a 20% increase in 2026, totaling a 35% rise in two years. Only one insurer plans to lower premiums. 4.6 million people have canceled plans since June 2025, and 12 insurers, including Cigna, will exit the marketplace in 2027. Rising healthcare costs and loss of subsidies contribute to the increases, affecting affordability for many.
How this was made

The 30-second read
Why it matters
The premium surge and insurer exits could reshape the ACA market, affecting enrollment, pricing dynamics, and insurer earnings.
Market read
Significant for health insurance stocks and ACA-related policy discussions; may influence investor sentiment toward the sector.
What to watch
Potential policy changes or new subsidies could mitigate premium impacts, altering the outlook for exiting insurers.
Background
The article reports KFF data showing ACA premiums up 35% over two years, 4.6 million cancellations, and 12 major insurers, including Cigna, exiting the marketplace.
Ticker impact
Cigna is listed among 12 insurers that will exit the ACA Marketplace in 2027, a development that could affect its revenue from government-sponsored health plans.
likely pressure as the market prices in reduced ACA volume and higher cost environment for Cigna.
Exit from a large government program reduces a stable revenue stream; higher premiums may also hurt enrollment and margins.
Market effects
Higher ACA premiums could pressure other health insurers and increase demand for supplemental coverage.
U.S. health insurance sector may see broader volatility as consumers react to price hikes.
Limited to U.S. health insurance market; minimal direct impact on global equities.
Counterpoint
Some insurers may benefit from higher premium pricing and could see improved margins despite enrollment declines.
Key entities
- companyCigna
U.S.-listed health insurer exiting the ACA Marketplace.
- research organizationKFF
Source of premium and enrollment data.
