Two Republican-led states are to some extent placing pragmatism over politics when it comes to the HIX marketplace, though their respective solutions veer off in different directions.

Idaho is the latest state to launch its own public exchange and only one of a dozen players pursing this approach whose state government is controlled by the GOP. With roughly 76,000 Idahoans signing up for 2014 coverage through HealthCare.gov, the Gem State became an early success story for the emerging online marketplace relative to other parts of the country. Idaho is one of 12 states, along with Washington, D.C., to run its own public HIX.

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