The phrase "to run an exchange" refers to managing or operating a platform where goods, services, or information can be traded or exchanged between different individuals or entities. Full definition
A critical component of the ACA mandates operation of a federally - run exchange in states that choose not to participate, and subsidies for people who can not afford coverage. (inc.com)
This can make it an appealing and affordable alternative to government - run exchanges for many people without coverage available to them through their workplaces. (whitehouse.gov)
Over half the states have refused to set up their own exchanges in favor of federally run exchanges. (rocklandtimes.com)