94,000 Virginians dropped ACA marketplace coverage in the last year

New data shows approximately 94,000 Virginians have dropped their Affordable Care Act marketplace insurance since 2025. The decline reflects the ongoing impact of the end of enhanced federal subsidies and rising premium costs, which are pushing lower-income individuals out of the commercial insurance pool. This shift increases the number of uninsured and underinsured patients, raising bad debt risk for providers. The trend is likely mirrored in other states that have not expanded Medicaid or instituted state-level subsidies. Practices in Virginia and similar markets should review their patient financial policies and charity care thresholds ahead of the 2027 open enrollment period.