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States Seek Greater Control, Cost-Savings by Converting to State-Based Marketplaces

This report investigates what is motivating states to transition to full state-based marketplace status, assesses the benefits and risks of such a switch, and identifies considerations for other states considering a similar move.

In general, states are viewing the transition to a state-based marketplace as a natural next step in their broader vision to reduce the number of uninsured and make health care more affordable.