United States

Migrating from the Federally Facilitated to a State-Based Marketplace: Using structured processes to guide an efficient and successful conversion

Feb 17, 2015
From the Government Institute

By the October 1, 2013 deadline, each state has taken steps to fulfill their Patient Protection and Affordable Care Act (ACA) obligation to provide access to a Health Benefit Exchange (HBE).

While the federal government’s preferred approach was for each state to develop its own State-Based Marketplace (SBM), many states opted to accept the Federally Facilitated Marketplace (FFM) as their exchange either directly or through a partnership model.

FFM states still have an opportunity to implement an exchange model that can better fit their needs. An SBM allows a state to maintain control over its healthcare ecosystem, while providing governors a tool to drive healthcare innovation and reform.

This KPMG Government Institute white paper, developed in conjunction with KPMG’s Global Human & Social Services Center of Excellence, introduces an approach as well as tools that KPMG has developed specifically to provide states the opportunity to accelerate initiatives so that they may benefit from these available opportunities. This white paper:

  • Provides an overview of the opportunity to move from the FFM to a SBM;
  • Highlights the six steps in KPMG’s approach to modernize state enterprise eligibility systems as part of the development of a SBM; and
  • Addresses special considerations, such as timing and complexity, compliance with federal guidance, implementation strategies, and planning requirements.


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