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Marketplace insurers are proposing a 10% premium rate hike in 2023 in 13 states and DC. An analysis of early rate filings in these regions shows that companies are seeking higher premium increases, mostly due to rising prices paid to hospitals, doctors and drug companies, as well as increases use of services by enrollees.

According to Peterson-KFF, the analysis looks at plans participating in the Affordable Care Act (ACA) marketplaces but the main premium drives identified as reasons for the increases are systemic and not specific to ACA markets.

Most premium changes insurers are requesting for 2023 fall between about 5% and 14% (the 25th and 75th percentile, respectively). Compared to recent years, relatively few insurers are requesting to lower their premiums, with only 4 out of 72 insurers filing negative premium changes, and the remaining 68 insurers requesting premium increases.

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