Election uncertainty made holding off on a health insurance exchange or Medicaid expansion appealing to conservative Governors. And while many are still resisting, experts in the trenches believe that is on the verge of changing now that President Obama has been reelected.
Arizona used $9 million in federal funding toward an HIX. But that was before it decided not to build its own marketplace. At least 7 other states have made similar decisions after spending federal grants. Here's where that money went.
While HHS has developed tentative or final regulations for most of the ACA, some are still evolving and may end up tweaked to balance market changes, state participation and stakeholder concerns, as the rulemaking process hints so far.
A large percentage of the Americans that the Affordable Care Act aims to bring into the insurance pool access the Web primarily through their smartphones. For the ACA to achieve its potential, federal and state governments must reach those citizens where it's most convenient for the consumer.