By Julian Pecquet - 02/08/12 05:02 PM EST
For the exchanges to be effective, the report concludes, "policymakers must present a clear vision, achieve consensus on key objectives, overcome organizational and market fragmentation, and work effectively with a range of different constituencies. There needs to be adequate financial resources and sustainable business models to support proposed changes and public and private leaders must have incentives to work well together in relationships based on mutual trust."
The report found states "have made progress in establishing organizational frameworks, building technology-based connections, and bringing relevant groups to the table for discussion.
"However, barriers remain in terms of governance, financing, and policy vision."