Managing State-Level ACA Implementation Through Interagency Collaboration

This report describes the early lessons learned from state officials and technical experts related to the leadership and coordination strategies needed to successfully implement the Affordable Care Act (ACA) at the state level. The brief:

  • Discusses the value of leadership and a clear vision;
  • Outlines specific interagency collaboration strategies being used by states, from low-tech solutions, such as regular meetings and clear delineation of roles and responsibilities, to higher-tech tools including document-sharing and project management software;
  • Provides concrete examples of work plans and formal memorandums of understanding (MOUs); and
  • Explores issues raised by:
    • the need to procure and develop new information technology (IT) systems;
    • the imperative to consult with various stakeholders; and,
    • the unique challenges related to Health Benefit Exchanges (Exchanges), which may or may not be a formal part of state government.

The brief is designed to provide practical insights and tools for states. For states in which planning is already well underway, it provides suggestions on ways to get beyond existing challenges and barriers. It can be used to check current task lists to ensure that all important topics are being contemplated. For states in which planning is just getting started, it can serve as a comprehensive primer.