Six states are in the process of shifting to state marketplaces in hopes of achieving cost savings, improved customer experience and greater control over health care plans. (Photo: Getty)
Just as a number of states that previously declined federal funding to expand Medicaid have since reversed, some state governments are beginning to assume greater oversight of their state's health care marketplace.
When the Affordable Care Act was launched six years ago, states had a decision to make: Would they set up their own insurance marketplaces or would they leave that to the federal government?
Originally, only 17 states set up their own marketplaces. In the following years, some retreated and handed off control to the feds. Now, only 11 states and the District of Columbia operate their own insurance exchanges, according to an analysis from the Robert Wood Johnson Foundation.
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