The State Health Care Spending Project is an initiative of The Pew Charitable Trusts and the John D. and Catherine T. MacArthur Foundation.
Explore news about our work and states’ health care challenges.
Health care and corrections have emerged as fiscal pressure points for states in recent years as rapid spending growth in each area has competed for finite revenue. Not surprisingly, health care spending for prison inmates—the intersection of these two spheres—also has risen swiftly. Read More
In 2013, the number of state and federal prisoners 55 or older continued to grow rapidly, according to the Bureau of Justice Statistics. These inmates cost state prison health care systems, on average, at least two to three times that of other inmates. While correctional health care costs began declining in many states in 2010 and 2011, a steadily aging prison population could reverse this trend. Read More
The report, "State Employee Health Plan Spending: An examination of premiums, cost drivers and policy approaches," found that paying for employee health insurance is second only to Medicaid as a portion of states’ overall health care spending. Read More