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KFF: Insurer participation in the ACA marketplaces declined from 2025 to 2026
The number of insurers offering plans on the Affordable Care Act's marketplaces declined between 2025 and 2026, with more payers poised for an exit ahead of the 2027 plan year, according to a new a | The number of insurers offering plans on the Affordable Care Act's marketplaces declined between 2025 and 2026, with more payers poised for an exit ahead of the 2027 plan year, according to a new analysis.
TL;DRAI
ACA marketplace insurer participation declined to 9.0 per state in 2026 from 9.6 in 2025, with 165 counties limited to single insurer and six carriers planning 2027 exits. The decline ends post-COVID tax-credit-driven growth; consolidation signals profitability pressures and raises affordability risks.
679 words~3 min read
