Manatt prepared an issue brief for the Robert Wood Johnson Foundation's State Health Reform Assistance Network that focuses on five state health insurance marketplaces to assess lessons that might help to explain trends in the initial months of open enrollment. Based on interviews with state leadership and a review of publicly available documents, the report explores the early implementation experience in Kynect (Kentucky), New York State of Health (New York), MNsure (Minnesota), HealthSource RI (Rhode Island) and the Washington Healthplanfinder (Washington State).