Healthcare Value State Accountability and Oversight


State accountability for healthcare is assuming responsibility for a fair, efficient healthcare delivery system on behalf of all state residents. Being fully accountable to their residents means establishing broad strategic goals for healthcare affordability, spending and outcomes, providing transparent oversight, collecting and using data to track progress towards goal.


It’s hard to imagine robust progress on healthcare value issues without an overarching entity whose role is to look at the big picture. And yet, to date, only a few states have a centralized oversight agency that focuses on reducing healthcare costs, improving quality, bringing spending in line with overall economic growth and implementing new innovations for better value.

States play a critical role in how the health system functions, but too few states take a coordinated, systematic approach to ensuring that consumers get value for the money they spend. All states regulate some parts of their healthcare systems, but many lack a comprehensive, inter-agency, multi-payer plan to address this enormous segment of their economy and top concern of residents and employers.

Many resources address the critical federal role in the provision of a fair, efficient health system. Below we assemble resources that specifically focus on the state role.

States Have a Unique Role in Getting to Healthcare Value

Our fragmented health system typically limits the ability of any one payer or stakeholder to incentivize the provider practice changes that will lead to lower costs. States are well positioned to:

  • Serve as a convener
  • Support multi-payer coordination
  • Invest in "upstream" approaches that lead to healthier communities

Broad access to coverage and getting to better healthcare value are inseparable, intertwined policy objectives.

Why We Need State Accountability

Proof of Concept

Implementation Aids

Scorecards Examining State Performance