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The Evolving Dynamics of Insurance Marketplace Implementation

Since the enactment of the Affordable Care Act, the roles of states and the federal government in establishing the new health insurance marketplaces―exchanges where people can shop for high-quality, affordable health plans—have evolved considerably. In a new blog post, Sarah Dash, Christine Monahan, and Kevin Lucia of the Georgetown University Health Policy Institute explain that the law originally called for just two options: state-run or federally run exchanges.

What has emerged, however, is a continuum of options, in which states and the federal government share responsibilities for the core exchange functions. Visit the Commonwealth Fund Blog for a comprehensive review of all of the exchange options and where each state falls on the continuum.

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