California is one of the first out of the gate in forming its health insurance exchange. This article is a good summary of a conference that talked about the lessons learned by CA officials:
http://www.commonwealthfund.org/Content/Newsletters/Washington-Health-Policy-in-Review/2010/Nov/November-8-2010/Lessons-from-the-California-Exchange.aspx
Good summary paragraph:
So what does California's experience thus far suggest? Among the lessons from a recent forum on the subject: If possible, get outside advice to help with the highly technical process of creating an exchange; be careful how you pick its board; make it easy for the public to understand what the exchange is doing, and spur the kind of competition that is going to make premiums affordable.
On Sept. 30, California became the first state in the nation to pass a law creating an exchange under the health care overhaul law.
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