How much will ACA Marketplace enrollment decline next year?

As of Tue, 20 Oct 2026 11:12:03 UTC, Kalshi traders price Above 5% (96.0%), Above 10% (86.0%), Above 15% (64.0%). The market has $2K in volume and closes on Wed, 29 Sep 2027.

Updated:

Current odds

OutcomeChanceYes priceNo price
Above 5%96.0%96.0¢4.0¢
Above 10%86.0%86.0¢14.0¢
Above 15%64.0%64.0¢36.0¢
Above 17%48.0%48.0¢52.0¢
Above 20%34.0%34.0¢66.0¢
Above 25%22.0%22.0¢78.0¢
Above 30%12.0%12.0¢88.0¢

Market details

Resolution rules

Each outcome is a separate contract with its own rules. The rules for Above 5%:

If the percent decline in CMS-reported nationwide ACA Marketplace effectuated enrollment is above 5% from February 2026 to February 2027, then the market resolves to Yes. The percent decline equals 100 × (February 2026 enrollment − February 2027 enrollment) ÷ February 2026 enrollment, based on the exact figures reported under CMS’s nationwide “All” Marketplace category, or its equivalent aggregate combining HealthCare.gov and state-based Marketplaces, in CMS’s first official or non-preliminary release containing February 2027 data. Nationwide includes the 50 states and Washington, D.C.

Sources

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