Health Care


State and local governments have been intensely focused on ways to retain high quality benefits while controlling or reducing costs.  The Center has analyzed data from all 50 states and a large sample of local governments, looking at such issues as disease prevention, cost containment, health care trusts, and wellness programs.  The Center also publishes case studies to explain the strategies and the financial results in more depth.

  • An overview of the health care and other postemployment benefits state and local governments provide for their retired employees and how they pay for them. (12/14)

    December 16, 2014
    Research Studies
  • Rising costs over the last decade have prompted many local governments to make changes to their health plans and strategies. Cost sharing, wellness program, and disease management initiatives are widely reported. Other changes cited include increased reliance on high-deductible plans, dependent eligibility audits, and altering retiree benefits.

    December 1, 2014
    Research Studies
  • Elizabeth Kellar’s presentation at the 2014 ICMA Annual Conference examines compensation trends, wage pressures, and health and retirement plan changes. The presentation also includes an overview of health care cost containment strategies. (9/16/14)

    September 23, 2014
    Presentations
  • When the Capital Metropolitan Transit Authority in Austin, TX, needed to reign in health care costs, the agency went beyond standard budget cuts to create a nationally recognized wellness program. (12/13)

    December 17, 2013
    Case Studies
  • A new report finds that local health departments face significant workforce recruitment, retention, and succession planning challenges as they try to meet increasing service demands within continued fiscal constraints. (11/21/13)

    November 21, 2013
    Case Studies
  • Center Vice President of Research Joshua Franzel discussed different approaches the states are taking to providing retiree health care at the National Governor’s Association Convening on State Employee and Retiree Health Care. (6/25/13)

    June 25, 2013
    Presentations
  • An overview of the health benefits states provide for their retired employees and how they pay for them. (6/13)

    June 12, 2013
    Research Studies
  • This brief examines the growth of wellness plans and documents the health and financial benefits they have produced. (9/12)

    September 27, 2012
    Research Studies
  • Like all employers, state and local governments must control health care costs while still offering competitive benefit packages that will attract and retain talented employees. Eight states that have adopted innovative practices to reduce costs and improve employees’ health are featured in this publication, which comes out of a joint Center for Excellence-North Carolina State University symposium that addressed both national trends and a rich variety of lessons learned from state innovations. (8/12)

    August 29, 2012
    Research Studies
  • This Government Finance Review article from Center vice president for research Joshua Franzel and Center researcher Alex Brown advises governments to understand what has been done thus far to address OPEB liabilities so they can assess their own efforts and determine if their retiree health care programs are sustainable. (2/2012)

    March 15, 2012
    Articles