Exchange IT-Building a Health Insurance Marketplace One Step at a Time

"The first challenge for the exchange is to develop some momentum," says Maryland Health Secretary Joshua Sharfstein. "Once it grows, we should have more leverage to push for cost containment."

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Most state officials are in favor of running their own exchanges. So far, however, only 12 have enacted statutes or executive orders establishing their intent to undertake the project, according to the National Conference of State Legislatures, and some of those are scrambling to make progress. Most states have been stymied by political opposition.

One small group of states -- led by Maryland, Washington, Oregon, Rhode Island and California -- is running significantly ahead of the rest. Statutes have been enacted to create the exchanges and the basic decisions about how to run them have already been made.

http://insurancenewsnet.com/article.aspx?id=326615
Hat tip: Insurance News Net