A new study released by the Robert Wood Johnson Foundation and Urban Institute found premiums for health plans in the ACA Marketplaces fell for a third consecutive year in 2022. More specifically, between 2021 and 2022 national average benchmark premiums fell by 1.8 percent. Thirty-two states had reductions in benchmark premiums while 18 percent had increases. This contrasts with employer-sponsored insurance, which increased by 3.6 percent in 2021. The study also found that variation in premiums related to the type of insurers in each rating area, finding that the presence of a Medicaid insurer aligned with lower benchmark premiums. Similarly, greater competition led to lower premiums. The report also notes the increased number of participating issuers in 2022.