Changes in Marketplace Premiums and Insurer Participation, 2022–2023
Skip to main content
Robert Wood Johnson Foundation
  • Our Vision
    • Our Vision Overview
    • Why Health Equity
    • Focus Areas
    • Measuring RWJF Progress
  • Grants
    • Grants Overview
    • Active Funding Opportunities
    • Awarded Grants
    • Grantee Stories
    • Grant Process
    • Grantee Resources
  • Insights
    • Insights Overview
    • Blog
    • Our Research
    • Advocacy And Policy
  • About RWJF
    • About RWJF Overview
    • Our Guiding Principles
    • How We Work
    • Impact Investments
    • Staff And Trustees
    • Newsroom
    • Careers
    • Contact Us
Find A Grant

    Changes in Marketplace Premiums and Insurer Participation, 2022-2023

    Brief Apr-03-2023 | Holahan J , Wengle E , and O'Brien C | 1-min read
    1. Insights
    2. Our Research
    3. Changes in Marketplace Premiums and Insurer Participation, 2022–2023
    Download brief
    Nurses use a computer to monitor patients.

    In 2023, monthly health insurance premiums for Affordable Care Act (ACA) benchmark plans increased by an average 3.4 percent.

     

    The Issue

    The increase in average premiums reverses a trend of annual premium reductions from 2019–2022, and comes despite continued growth in the number of insurers participating in ACA Marketplaces.

     

    Key Findings


    • Benchmark premiums vary considerable across states and rating regions, largely influenced by insurer competition:
      • In regions with only one insurer offering plans through the ACA, premiums were an average $128 higher than regions with five or more insurers.
      • The presence of one or more Medicaid insurers in a given region also correlated with lower increases in average premiums.
    • States that expanded Medicaid eligibility requirements saw smaller premium increases.
    • Competition is less robust in small cities and rural areas, which typically only have two or three insurers offering Marketplace coverage plans.
    • Between 2019 and 2022, average benchmark premiums decreased by an average of 2.2 percent annually.

     

    Conclusion

    Among other factors, researchers note that persistent inflation and uncertainty regarding whether ACA’s enhanced premium tax credits would be extended served as primary drivers of the increased premiums.

    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. Visit the Urban Institute’s Health Policy Center for more information specific to its staff and its recent research.

    Related Content

    Brief
    Counselor Rita Espinoza, right, meets with a client at the Joint Committee for Children's Healthcare in Everett. The Joint Committee focuses on connecting Everett's citizens with the health services available to them. Culture of Health Prize 2015.

    Most Adults with Past-Due Medical Debt Owe Money to Hospitals

    More than 15% of adults in the U.S. report past-due medical debt, with nearly 73% owing some or all of that debt to hospitals.

    1-min read

    Brief
    Santa Monica 2016 Culture of Health. Toya is an intake worker who interviews homeless individuals to offer soltions and insight.

    Marketplace Pulse: How is Competition Evolving in the Marketplace?

    Between 2019 and 2021, participation in the ACA marketplace increased dramatically, while enrollment growth was modest. In 2022, that started to change. An updated map shows changes in participation at the county level.

    5-min read

    Brief
    Health care workers with the St. Josephs Queen of the Valley Hospital in Napa, California care for in and out patients in the hospital and in their homes. The Alameda County Public Health Departmentメs EMS Corps program, is helping local health care providers expand and diversify their workforce by training young men and women from the community to be emergency medical professionals.

    Applying a Premium Cap in Medicare Part B and Part D

    Applying a cap on Part B and Part D Medicare premiums would help low-income people living in America.

    1-min read

    • About this Grant
    SHOW MORE
    +

    SHARE

    Subscribe to receive Funding Alerts & more

    Explore the latest in reflection and research from subject matter experts at RWJF and our wide network of partners.

    Email address already subscribed. Please check your inbox to manage your subscriptions.

    Subscribed!

    Thank you. You are now subscribed.

    Tell us what type of content you want to receive.

    Be informed with our weekly newsletter updating you with relevant news and research around a Culture of Health, as well as the latest funding opportunities.

    Get funded by RWJF: Receive notifications when new funding opportunities are released.

    Receive monthly updates on RWJF-sponsored research that informs many robust health policy debates on Capitol Hill, covering topics like health equity, improving access to quality healthcare, equitable housing, and more.

    Shop talk for researchers. This monthly newsletter covers research news and opportunities from the Robert Wood Johnson Foundation.

    Sometimes we have news, announcements or opportunities that don't quite fit the subscription parameters above. If you're interested, we'll send you this information under "There's more...". *If you've indicated you are an EU resident, we will only send these communications if you intentionally check this box.

    Yes! I want to tell you more about myself and receive personalized communications in the future.

    Area(s) Of Interest

    Which profession or pursuit best describes you?

    Unsubscribe

    Stop receiving all emails from RWJF

    This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
    • CONTACT RWJF

      50 College Road East

      Princeton, NJ 08540-6614

       

      US Toll Free: (877) 843-7953

      International: +1 (609) 627-6000

    • MANAGE YOUR GRANTS

      MyRWJF Login

      • Twitter link
      • Facebook link
      • LinkedIn link
      • YouTube link

    • Our Vision
      • Our Vision Overview
      • Why Health Equity
      • Focus Areas
      • Measuring RWJF Progress
    • Grants
      • Grants Overview
      • Active Funding Opportunities
      • Awarded Grants
      • Grantee Stories
      • Grant Process
      • Grantee Resources
    • Insights
      • Insights Overview
      • Blog
      • Our Research
      • Advocacy And Policy
    • About RWJF
      • About RWJF Overview
      • Our Guiding Principles
      • How We Work
      • Impact Investments
      • Staff And Trustees
      • Newsroom
      • Careers
      • Contact Us

    ©2001- 

    Robert Wood Johnson Foundation. All Rights Reserved. 

     

    • Manage Email
    • Privacy Statement
    • Terms and Conditions