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Weight loss drugs 1 factor behind ACA premium increases: 3 things to know

For 2025, health insurers are proposing a median premium increase of 7% for ACA Marketplace plans, driven primarily by rising medical costs, specialty drug utilization, and inflation. While premium changes vary widely, the overall trend reflects a return to pre-pandemic inflation rates and ongoing increases in healthcare costs. Click here for article.

  • Median Premium Increase: Insurers are proposing a median premium increase of 7% for ACA Marketplace plans in 2025, consistent with last year's increase.

  • Main Drivers: Rising medical costs, higher prices for specialty drugs (like GLP-1s), and general inflation are major factors influencing premium hikes.

  • Range of Changes: Proposed premiums vary significantly, from a decrease of -14% to an increase of 51%, with most changes falling between 2% and 10%.

  • Minimal Impact of Certain Factors: The unwinding of Medicaid continuous coverage and COVID-19-related costs have a negligible effect on 2025 premiums.

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