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Next year is going to be another year of big ACA premium increases — but this time Republicans won't be able to pin all the rate hikes on Democrats.

Expand chart
Data: Kaiser Family Foundation; Cartogram: Kerrie Vila and Chris Canipe/Axios
  • These are the first rate hikes since Congress got rid of the individual mandate penalty. It was the most unpopular part of the ACA, but it was there to make sure healthy people bought coverage.
  • Without the healthy people, there are probably going to be more premium increases since insurers can't count on them to balance the costs of sick people.
  • The rate hikes for next year are mostly in double digits so far.
  • That's not the only reason rates are going up. There's also the prices doctors and hospitals are charging for their services, and the rising cost of prescription drugs.
  • In Maryland, Kaiser Permanente says it's raising premiums by an average of 37% for next year for lots of reasons. But the end of the mandate is "expected to have a significant impact, driving a large reduction in membership," according to the company's rate filing.

The big picture: These rate increases aren't hitting everyone in the country. It's just the 7% of Americans who get their health insurance through the ACA.

  • The takeaway: Health care is getting more expensive for all of us — as health care spending and premiums have been growing faster than household incomes for the past decade.
Go deeper:

Go deeper

Updated 11 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Eniola Odetunde/Axios

  1. Health: Most vulnerable Americans aren't getting enough vaccine information — Fauci says Trump administration's lack of facts on COVID "very likely" cost lives.
  2. Politics: Biden unveils "wartime" COVID strategyBiden's COVID-19 bubble.
  3. Vaccine: Florida requiring proof of residency to get vaccine — CDC extends interval between vaccine doses for exceptional cases.
  4. World: Hong Kong to put tens of thousands on lockdown as cases surge.
  5. Sports: 2021 Tokyo Olympics hang in the balance.
  6. 🎧 Podcast: Carbon Health's CEO on unsticking the vaccine bottleneck.

Trump impeachment trial to start week of Feb. 8, Schumer says

Senate Majority Leader Chuck Schumer. Photo: The Washington Post via Getty

The Senate will begin former President Trump's impeachment trial the week of Feb. 8, Majority Leader Chuck Schumer announced Friday on the Senate floor.

The state of play: Schumer announced the schedule after reaching an agreement with Republicans. The House will transmit the article of impeachment against the former president late Monday.

13 hours ago - Health

CDC extends interval between COVID vaccine doses for exceptional cases

Photo: Joseph Prezioso/AFP via Getty

Patients can space out the two doses of the coronavirus vaccine by up to six weeks if it’s "not feasible" to follow the shorter recommended window, according to updated guidance from the Centers for Disease and Control and Prevention.

Driving the news: With the prospect of vaccine shortages and a low likelihood that supply will expand before April, the latest changes could provide a path to vaccinate more Americans — a top priority for President Biden.

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