Premiums for the lowest priced ‘silver’ plans in each region increased an average of 32 percent nationally from 2017 to 2018 for a 40-year-old nonsmoker.
Marketplace premiums increased nationwide but there was variation in and among states. Iowa experienced the largest increase in its lowest priced silver premium (117.5%), from $320 in 2017 to $695 in 2018. Alaska had the largest decrease (-22.5%), from $901 in 2017 to $698 in 2018.
More insurers exited markets than entered new markets in 2018, reflecting uncertainty in the marketplace.
States with Medicaid managed care organizations and/or many competing insurers offering marketplace coverage tended to have the lowest premiums.
Some of the smallest increases (including some decreases) were in states with high 2017 premiums.
Authors say policy changes, insurer exits and uncertainty in the health insurance marketplace contributed to the premium increases.
About the Urban Institute
The nonprofit Urban Institute is dedicated to elevating the debate on social and economic policy. For nearly five decades, Urban scholars have conducted research and offered evidence-based solutions that improve lives and strengthen communities across a rapidly urbanizing world. Their objective research helps expand opportunities for all, reduce hardship among the most vulnerable, and strengthen the effectiveness of the public sector. For more information, visit www.urban.org. Follow the Urban Institute on Twitter or Facebook. More information specific to the Urban Institute’s Health Policy Center, its staff, and its recent research can be found at www.healthpolicycenter.org.