The University of Massachusetts Medical School and the National Academy of Social Insurance wrote the report, which examines work and lessons learned from early innovator states. Five major recommendations are:
* Agreement on a common vision, strategy and I.T. development plan is necessary to meet quick deadlines;
* Careful assessment of a state’s internal and external I.T. resources should be done;
* Integration of policies and technologies between an exchange and the Medicaid program is a complicated but pressing challenge;
* Leveraging federal resources, reusing technologies developed by other states and federal agencies, and participation in multi-state collaboratives can accelerate development and reduce costs; and
* Proceeding with development despite political uncertainties is necessary to meet implementation deadlines.
The Robert Wood Johnson Foundation provided funding for the report, available here.





























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