Recent headlines suggest potential trouble for the Affordable Care Act’s marketplaces. Several insurers have requested double-digit premium increases for 2017. In addition, Aetna announced it is pulling out of some state marketplaces next year, the third major insurer to do so. In a new To the Point, The Commonwealth Fund’s Sara Collins and David Blumenthal, M.D., explain why most consumers are unlikely to experience large premium hikes—and how price competition is likely contributing to the large insurers’ exits. Collins and Blumenthal also offer solutions to maintain competition and affordable choices for consumers.