As they struggle to become financially stable, state-based health insurance marketplaces are lagging behind the federally-facilitated marketplace and are likely to continue to do so in the near future.
Despite improvement efforts, it is safe to say that the experience for issuers on the public exchange has been challenging, said Scott Rathke, vice president of government relations at Tampa, Fla.-based Health Plan Services, a third-party administrator which works in the FFM and eight state-based marketplaces. Pretty much from the get-go, while the marketplaces have been improving, you still have lots of nuances and problems.