Health Care


  • Public health challenges, such as disease outbreaks and substance abuse problems, do not recognize jurisdictional boundaries. This report examines case studies of three cross-jurisdictional staff sharing arrangements in local public health organizations as a means to expand organizational capacity, better manage expenditures, and contain or address existing or emerging issues.

    November 22, 2017
    Case Studies
  • The brief examines the finances of the health insurance benefit plans offered by state governments to retired employees in all 50 states, as part of an ongoing NASRA/SLGE series.

    May 17, 2017
    Research Studies
  • Hampden County has taken a proactive approach to help jail inmates and former inmates access comprehensive medical care, behavioral health and social services, and the financial support they need to improve their life circumstances and ultimately become productive members of their communities.

    January 23, 2017
    Case Studies
  • This brief attempts to answer the question: How big of a burden are OPEB benefits to state and local governments?

    March 10, 2016
    Research Studies
  • 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.

    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.

    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.

    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.

    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.

    June 25, 2013
    Presentations