An issue brief from the Milbank Memorial Fund identifies what state health policy directors believe to be the critical success factors for implementing exchanges as well as any major state-based health policy implementation activity. These factors include leadership and governance, management of scope, and experience and expertise of core staff.
The issue brief can be obtained at https://www.milbank.org/wp-content/uploads/2017/04/MMF-issue-brief-state-based-exchanges-2017-FINAL.pdf.