Fourteen states and the District of Columbia told the federal government they could run their own health insurance exchanges, but now three people leading their states' exchanges have left following problem-plagued rollouts of the online marketplaces.
The executive director of Maryland's exchange, Rebecca Pearce, resigned late Friday. The head of Hawaii's health insurance marketplace also resigned after delays in getting the exchange running and low signups. And the head of Oregon's health exchange took a medical leave earlier in December as state officials were reviewing his job performance.
Bob Laszewski, a health care industry consultant, said Americans may be more familiar with the problems of the federal health insurance website, HealthCare.gov, but state exchanges are "startlingly short of their expectations" for enrolling people.
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