Archived Project

State Health Care Spending

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The State Health Care Spending Project, a collaboration between The Pew Charitable Trusts and the John D. and Catherine T. MacArthur Foundation, examined seven major areas of state health care spending—Medicaid, the Children’s Health Insurance Program, substance abuse treatment, mental health services, prison health care, active state government employee health insurance, and retired state government employee health insurance. The project provided a comprehensive examination of each of these health programs that states fund. The programs vary by state in many ways, so the research highlighted those variations and some of the principal factors driving them. The project concurrently released state-by-state data on 20 key health indicators to complement the programmatic spending analysis. To see new research from Pew on prison health care spending, please visit State and Local Correctional Health Care Spending.


State and Local Correctional Health Care Spending

See new research from Pew that examines correctional health care spending and performance...

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State Health Care Spending Project Reports

These reports provide 50-state analysis of states’ spending on health care.

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Our Work

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  • How States Provide Health Benefits to Retired Workers

    A recent issue brief from the Kaiser Family Foundation found that the share of Medicare-eligible retirees who have employer-sponsored supplemental insurance is at a 25-year low, measuring between 16 and 25 percent depending on the national survey used. Read More

  • State Health Care Costs Vary Significantly

    When it comes to health care spending, states face a complicated set of challenges and financial burdens,  with obligations ranging from caring for their most vulnerable populations—the poor, elderly, very young, chronically ill, or incarcerated—to providing coverage for state employees and retirees as part of compensation packages.  Read More

  • State Health Care Spending: Key Findings

    Health care spending presents a complicated set of challenges and financial burdens for states, whose obligations range from caring for the neediest residents—those who cannot afford health care or health insurance on their own—to providing coverage for state employees and retirees who have negotiated it as part of their compensation packages. States spend, in the aggregate, hundreds... Read More

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Sarah Leiseca

Manager, Communications