The federal health-care exchange’s abysmal success rate By Kennedy Elliott, Published: Nov. 21, 2013 Technical issues have plagued the rollout of the Affordable Care Act’s online health insurance exchanges — digital marketplaces where individuals can browse and apply for health insurance coverage. States decided whether they would create their own exchange or, if they preferred, have the federal government do it for them (or create one through a partnership with the federal government). Typically, states that embraced the health-care law, such as California, chose to create exchanges, while states that were resistant to it, such as Florida, defaulted to the federal exchange. However, the states that defaulted to a federal exchange are facing a host of technical issues and are fairing, on average, much worse than states with their own exchanges.

http://www.washingtonpost.com/wp-srv/special/politics/state-vs-federal-exchanges/