By dividing the country into federal healthcare market regions the work of setting up working web sites for signing up to the HC market may be farmed our to states that have their own working web site. NY, for example, an be contracted to set up marketplace sites for up to six states on the northeast modeled on their own successful one. California can do the same for surrounding states and Kentucky too. Dividing the country four or five regions and farming out the work contracting up to five states to those states that have a working system can reduce the load on the federal site by 70%, maybe more, free up some federal contracting funds to states that are successful on their health care implementation strategy and help in moving towards the success of the program.



