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Competition has dropped sharply since the first ACA enrollment season. Photo: Alex Brandon / AP

Every year before open enrollment for the Affordable Care Act begins, the Department of Health and Human Services puts out a report that details the available options and costs in the states using HealthCare.gov.

That report will come out later this morning, but I got a sneak peek. Here's where things stand for the upcoming enrollment period.

  • Competition is down no matter you slice it: Just 45% of enrollees live in areas with three or more competing insurers, down from 75% in the first open-enrollment window.
  • Roughly 30% of people who get coverage through the ACA will only have one insurance company to choose from next year, and 26% will only have two.
  • The average enrollee has a total of 25 specific plans to choose from — down from 30 last year and 51 during the first enrollment period.

Premiums are up — but so are subsidies.

  • HHS' data confirm that premiums will, in fact, be considerably higher for 2018 coverage. For the "benchmark" plans available to a 27-year-old consumer — plans that falls roughly in the middle of the road in terms of both coverage and costs — premiums are up, on average, by 37%.
  • Those increases are especially high because benchmark plans have borne the brunt of the drama surrounding the ACA's cost-sharing subsidies. Premiums for the cheapest plan available to that same 27-year-old are up a more modest (but still not small) 17%.
  • The ACA's premium subsidies, which are tied to the cost of those "benchmark" plans, will also much more generous next year. The average subsidy, across all enrollees, will be 45% higher than it was this year.
  • That hypothetical 27-year-old, making $25,000 per year, would see the value of her subsidies rise by 73%.
  • That means subsidized consumers could end up paying substantially less next year than they have in the past, and in many cases will be able to get more generous coverage for the same price. Unsubsidized consumers will pay substantially more every month.

Be smart: President Trump's decisions on cost-sharing subsidies have contributed to the law's rising premiums and the resulting rise in subsidies. But he's not responsible for all of this. Competition, for example, took a big hit last year — when President Obama was still in charge.

Go deeper

Obama says Powell exemplified what America "can and should be"

Then-President Obama speaks alongside former Secretary of State Colin Powell (left) during a meeting in the Oval Office in 2010. Photo: Saul Loeb/AFP via Getty Images

Former President Obama called Colin Powell an "exemplary soldier and an exemplary patriot" in a statement honoring the former general following his death from COVID complications on Monday.

Why it matters: Powell, the first Black U.S. secretary of state, was known as a Republican but played a critical role in helping Obama get elected in 2008.

Justice Department asks Supreme Court to block Texas abortion ban

Abortion rights activists rally at the Texas State Capitol on Sept. 11 in Austin, Texas. Photo: Jordan Vonderhaar/Getty Images

The Justice Department on Monday asked the Supreme Court to temporarily block Texas' near-total ban on abortions while federal courts consider its constitutionality.

The big picture: The court last month allowed the ban to take effect, rejecting an emergency application by abortion-rights groups. The law bars the procedure after cardiac activity is detected, as early as six weeks into pregnancy.

Updated 3 hours ago - Health

This arthritis drug cost $198 in 2008. Now it's more than $10,000

Illustration: Aïda Amer/Axios

In 2008, a box of 30 anti-inflammatory rectal suppositories that treats arthritis, called Indocin, had a price tag of $198. As of Oct. 1, the price of that same box was 52 times higher, totaling $10,350.

Why it matters: As federal lawmakers continue to waver on drug price reforms, Indocin is another example of how nothing prevents drug companies from hiking prices at will and selling them within a broken supply chain.