Increasing Healthcare Insurance Costs and Lost Healthcare
Charles Gaba @ his Blog of the same name has a commentary up detailing the loss of Healthcare Insurance due to the Tr__p administration with the support of Congress. . . . In case you have forhottens? The subsidies supporting ACA healthcare was cancelled this last year.
I do not know whether Charles Gaba will do the healthcare ACA price increase calculation for each state. He did do Michigan (see below). On his site (Charles Gaba ), Charles has California up as well as a few other states. He is the only one that I am aware of who calculates the costs to be borne by citizens.
In 2026, the Affordable Care Act (Obamacare) is experiencing significant disruption due to the expiration of the American Rescue Plan and Inflation Reduction Act enhanced premium subsidies. This has triggered a “subsidy cliff,” pushing average monthly out-of-pocket premiums up by 58% and causing record drops in Marketplace enrollment.
2027 Rate Changes – Michigan: +14.2% indy market; +9.6% sm. group market, Charles Gaba
Over 130,000 had already lost ACA coverage as of February.
Before I begin, it’s important to note that as in most states, ACA exchange enrollment has plummeted in Michigan since Congressional Republicans allowed the enhanced federal subsidies to expire at the end of last year: Effectuated enrollment was down 27% year over year as of February and has almost certainly continued to drop further since then. That is at least 131,000 fewer Michiganders enrolled in ACA healthcare coverage this year.
Here’s what this looks like visually, with both 2025 and 2019 (the last pre-COVID year, which didn’t include the enhanced subsidies) included for comparison:
With that in mind, here’s the key points from the 2027 actuarial filings from the various insurance carriers participating in the Michigan individual market next. year (note that Molina is newly entering the Michigan market). I did not include each Healthcare Insurance change that Charles had on his site. However, if you review each insurance company’s insurance offering on Charles’ site for Michigan, you will see increases of ~10 to 25% in cost. Similar increases hold truth for other states.
Put all together pricing results together and you get the following, although according to the official Michigan Dept. of Insurance & Financial Services summary page the weighted averages are slightly lower for both the Individual and Small Group markets for some reason:
