How do states buy health insurance for their own employees?

Journal Article (Journal Article)

State governments play many roles in local health insurance markets. This paper focuses on the role of states as employers. As managed care and health care costs continue to grow, state governments engage in a variety of health insurance purchasing practices that influence the structure of health benefits offered to state employees. Descriptive analysis shows that many states have adopted managed competition to some degree, as well as traditional cost-reducing measures such as utilization review and self insurance. The experience of state governments can provide a benchmark for other public and private employers.

Full Text

Duke Authors

Cited Authors

  • Maciejewski, ML; Dowd, BE; Feldman, R

Published Date

  • 1997

Published In

Volume / Issue

  • 5 / 3

Start / End Page

  • 11 - 19

PubMed ID

  • 10169758

International Standard Serial Number (ISSN)

  • 1064-5454


  • eng

Conference Location

  • United States