Health Insurance for Active and Retired City Employees: Asheville, Denver, and Oklahoma City

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Public and private employers face the same challenge: how to control the continuing growth in health care costs. With an aging workforce and a growing ratio of retirees to active workers, governments recognize they cannot be complacent about a benefit as important — and costly — as health insurance. This issue brief takes a close look at three city governments and the strategies they have put in place to address current and future health care costs, including:

  • Wellness programs
  • Chronic disease management
  • Employee clinics
  • Cost shifting to employees
  • Plan design changes
  • Trust funds
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