State Health Care Spending

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.


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  • Prison Population Continues to Age

    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

  • State Spending on Employees Health Insurance Varies Significantly

    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

  • Pew: State Prison Health Care Spending Trending Down Since Peak

    WASHINGTON—State spending on prisoner health care increased from fiscal years 2007 to 2011, but it is trending downward from its peak in 2009, according to a new report from the State Health Care Spending Project, an initiative of The Pew Charitable Trusts and the John D. and Catherine T. MacArthur Foundation. The report, State Prison Health Care Spending: An Examination, analyzes four key... Read More

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