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.

  • This report is the first systematic (entire workforce) assessment of the level of OPEB (other post-employment benefits) liabilities of US states and a sample of localities.

    July 15, 2009
    Research Studies
  • An examination of the current financial status of state retiree health plans. States with the lowest unfunded liabilities include North Dakota, Wyoming, Iowa, Oregon, Rhode Island, and Oklahoma; states with the largest include New Jersey, New York, California, North Carolina, Connecticut, Louisiana, and Texas. The original 2008 brief was updated in 2009.

    January 15, 2009
    Research Studies
  • This brief examines the health care plans local governments are offering to their retirees, the impact of new GASB rules, and potential solutions governments may use to continue to offer the benefits. (January/February 2009)

    January 15, 2009
    Research Studies
  • This report examines how state administrators perceive the importance of retiree health care benefits to central human resource goals; how the states structure retiree health care programs; and which cost sharing and cost shedding measures have been adopted and/or are being considered. All 50 states report they are making incremental changes, focusing primarily on disease prevention, cost containment, and cost sharing strategies. (12/08)

    December 2, 2008
    Research Studies
  • An examination of how North Carolina local governments are meeting their obligations to report their unfunded retiree health care obligations. The brief is based on a survey of the 30 local governments in the state with annual revenues greater than $100 million. (11/10/08)

    November 10, 2008
    Research Studies
  • American City & County magazine magazine looks at the different strategies local governments are using to contain increases in health care costs. (10/08)

    October 1, 2008
    Articles
  • This report shines a light on differences and similarities in state health plans in a quick reference format. It includes such details as eligibility requirements for coverage and the cost to employees and to state governments for the benefit. (9/08)

    September 23, 2008
    Research Studies
  • This brief analyzes new survey data from the 50 states and a large sample of local governments. (9/08)

    September 17, 2008
    Research Studies
  • State and local governments are faced with a number of uncertainties about the future of health care in the U.S. as well as in their own organizations. An examination of some of the broad questions that will affect future costs. (7/08)

    July 29, 2008
    Research Studies
  • This report stems from a request from the Michigan House of Representatives Committee on Retiree Health Care Reforms for research on retiree health care funding options. (6/08)

    June 24, 2008
    Research Studies