The Supreme Courts ruling in King v. Burwell that subsides on the federally-facilitated marketplace can continue may present an opportunity for struggling state-based marketplaces to switch to Healthcare.gov, as other challenges remain for exchanges nationwide.
We now move on to the hard work of trying to make these markets function as effectively as possible, says Carolyn Pearson, senior vice president at consultancy Avalere Health in Washington. The ruling gives general stability. But there [are] lots of ongoing challenges that both the state and federal exchanges will continue to grapple with in the coming years.