State Health Plans in Fiscal Austerity: The Challenge of Improving Benefits While Moderating Costs


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.

North Carolina State University
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Symposium sessions featured pharmaceutical benefit strategies for active and retired public employees that have contained costs through audits and purchasing alliances; wellness programs that reduced costs and improved employee health; a program that pays providers for performance; and a revamped bariatric surgery program that cut costs and improved employee health.