States have taken different approaches to implementing the Affordable Care Act (ACA) and have had varied enrollment experiences to date. This brief highlights the experiences of four states--Colorado, Connecticut, Kentucky, and Washington--that established a State-based Marketplace (SBM), implemented the ACA's Medicaid expansion, and achieved success enrolling eligible individuals into coverage. Based on interviews with key stakeholders in each state, it identifies effective strategies that contributed to enrollment and current priorities looking forward. Key themes are summarized below; details on specific strategies and approaches utilized by the states are described in the full report.
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