Growth chart with coins states with their own marketplaces and states that have expanded Medicaid are seeing lower overall premiums in the ACA marketplaces. (Image: Shutterstock)

Premiums for the Affordable Care Act have declined three years in a row—while private plan premiums have increased during the same time frame, a new study has found.

The report by the Urban Institute said that although the ACA marketplaces seem stable overall, different markets had different results; markets with fewer insurers had substantially higher premiums than markets with more insurers. But the overall trajectory of the marketplaces, after a setback in 2018, seemed positive for consumers, the report said.

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