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Marketplace Competition and Premiums, 2019–2022

This report explores Affordable Care Act (ACA) Marketplace premiums at the state and rating region levels, focusing on the changes between 2021 and 2022.

In 2022, the ACA Marketplaces entered their ninth year of operation, and premiums have fallen in a number of places around the country despite the unknowns of the pandemic and related economic recovery.