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State Employee Health Management Initiatives

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Topics: Cost-effectiveness | Employer-Sponsored Coverage | Spending | State Data

This report explores the impact of the rising cost of health care on states' ability to provide health care benefits for state employees.

From the report:

With a workforce increasingly susceptible to chronic diseases, states are addressing the various conditions that account for more than 75 percent of all health care costs. Typical initiatives include screening programs that monitor and detect diseases before they become more costly and deadly as well as health coaching programs that motivate and support employees in achieving health goals. Other programs include incentives such as lower premiums, cash awards, or increased time off for healthy living. For higher risk employees, disease management initiatives provide more intensive interventions and coordinated care.  

Governors employ more than four million state employees who are vital to implementing government initiatives, administering programs and providing services to citizens. Across the nation, states provide health care benefits to more than 13 million people, including active state employees, their dependents, and retirees. As the costs of health care continue to grow, states will face challenges to providing these benefits. The recent economic situation may lead states to consider changes to their employee benefit approach as one opportunity to help their budgets. Recognizing the high costs of health care, states are increasingly offering health management programs to improve employee wellness and manage costs.

Full report: State Employee Health Management Initiatives (PDF | 576.51 KB)exit disclaimer small icon

NGA Center for Best Practices. (2009). State employee health management initiatives. Hsieh, J.


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