The Your Health Idaho Marketplace: A Model for State Based Adoption

While the implementation of other ACA-compliant state-based marketplaces (SBMs) have been marred by technical issues and runaway budgets, the Your Health Idaho marketplace opened with few technical complications and touts an annual budget of less than $9 million. It also has plans to be self-sustaining within the first few years of operation. Leavitt Partners’ analyses of publicly available budget data from other SBMs suggest a range of annual budgets from $32.5 million to $340 million, with a median of $63.2 million.

The goal of this case study is to identify the successful traits of the Your Health Idaho marketplace that have led to a successful rollout and put it on a fast-track to financial sustainability. Other states which may be interested in pursuing an SBM, but are justifiably concerned about costs, may consider these lessons to be best practices.