Premiums for plans sold through the Affordable Care Act’s health insurance exchanges will increase by 7.5 percent on average next year, according to a report by PricewaterhouseCoopers’ Health Research Institute. Estimates are based on preliminary data from 27 states and the District of Columbia. Although the 7.5 percent increase is below the double-digit increases some have predicted, the report noted that premiums will vary, with some states facing substantial rate hikes while other states will experience declines. For example:

  • Nevada will see the highest proposed rate increase at 36 percent;
  • Premiums for exchange plans in Indiana are estimated to increase by 15.4 percent;
  • Oregon will likely see rates decrease by 2.5 percent;
  • Arizona could see rates decrease by as much as 23 percent

Insurers generally are expected to raise their premium rates in states where the beneficiary pools are made up of more sick, elderly individuals who are likely to use more medical care than previously estimated.

AASM Members are invited to learn more about the specific provisions contained in the Affordable Care Act and our advocacy efforts to ensure sleep services are included in the State Exchange health plans.