State-Based Approaches to Health Care Value

Cost and Quality

It is well documented that the United States spends more on health care per capita and devotes a greater share of its Gross Domestic Product (GDP) to health expenditures than any other developed nation.

As health care continues taking larger shares of household income, state policymakers are increasingly focused on strategies to improve the value of the whole health care system by increasing quality and lowering costs. This paper examines the strategies that seven states have used to improve value—some ideas are new, while other concepts have been in place for years.