HIT Consultant October 3, 2025
What You Should Know:
– The U.S. healthcare market is showing a stark divergence in cost trends between public and private sectors. While Affordable Care Act (ACA) premiums are spiking well above the industry’s decade-long trend of sub-10% increases, real-world claims data from self-funded employers show costs holding steady at under 5%, according to new data from Nomi Health.
ACA Rate Hikes Driven by Utilization and Risk
ACA insurers across the country are filing for some of the steepest premium increases in recent memory. The justification for these dramatic hikes—which include Molina Healthcare requesting a 41% increase in Florida , United seeking a 43% increase in Georgia , and increases above 18% in Michigan —is centered on rising...
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