On March 20, Gov. Mark Dayton signed legislation establishing a state-run health insurance marketplace that’s expected to eventually serve more than a million individuals. On October 1, the insurance exchange – known as MNSure – is slated to begin enrolling customers.

Premiums remain a huge issue in the debate over Minnesota's health insurance exchange, MNsure. One fear is that it will potentially raise health insurance costs for all Minnesotans. Others argue the opposite, suggesting health costs will flatten as the exchange creates a wider marketplace.

Minnesota has received conditional approval from the U.S. Department of Health and Human Services (HHS) to build the state’s new health insurance exchange.

Key question: Does Minnesota want to be more like Massachusetts or Utah?

Close observers and key players in Minnesota’s project to create a health insurance exchange have some advice for those who want to follow the process: Pay close attention, and don’t blink.