This analysis of marketplace insurers’ early rate filings in 13 states and the District of Columbia finds that they are seeking higher premium increases than in recent years, largely due to rising prices paid to hospitals, doctors and drug companies and increased use of services by enrollees. Insurers’ rate requests are preliminary at this point and may change during the review process before being finalized in late summer.

Some insurers cited the potential expiration of the enhanced premium tax credits included in the American Rescue Plan Act of 2021 (ARPA) as having a modest impact on their unsubsidized rates – though it would have a much larger impact on what enrollees themselves pay for coverage.

The analysis is available on the Peterson-KFF Health System Tracker, an online information hub dedicated to monitoring and assessing the performance of the U.S. health system.