Iowa: Final avg. unsubsidized 2023 #ACA rate changes: +2.3% (updated)
Here's the preliminary 2023 rate filings for Iowa's individual & small-group markets. Unfortunately, I only have the enrollment data for the two smaller carriers on the individual market (and none for the small group market), but based on my estimate of Iowa's total ACA-compliant individual market, I can make an educated guess as to the weighted average, which should be roughly 2.0%.
Unfortunately I can't do the same for the small group market; for that, the unweighted average rate increase is around 5.1%.
I should also note that Iowa also has 35,400 residents still enrolled in pre-ACA ("transitional" or "grandmothered") medical policies, with nearly all of them being via Wellmark:
- Wellmark BCBS of IA: 33,100 (6.2% avg. hikes)
- Wellmark Health Plan of IA: 700 (7.8% avg. hikes)
- Golden Rule Insurance Co: 1,600 (14.0% avg. hikes)
Iowa is one of the rare states where the transitional individual market is still nearly half the size of the ACA-compliant market.
UPDATE 11/03/22: Now that we're into the actual Open Enrollment Period, Iowa's final 2023 rate changes are posted at the federal review site. There've been only nominal changes. Thankfully I have a pretty good idea of Wellmark's enrollment, which should put the approved weighted average at around 2.3% overall.
No changes to the small group market, which is looking at unweighted average increases of 4.7%.