Healthcare Delivery

Governors know that improving the health of citizens is not only essential to ensuring they live productive lives, but also to controlling health care costs and balancing budgets; as a result, states are leading on a wide array of health reform initiatives.

Governors are focused on finding ways to pay for and deliver care that will lead to improved quality, better outcomes and lower costs in their states. To support these priorities, NGA provides information, research synthesis, policy analysis, technical assistance and resources to Governors and their staff on healthcare topics. NGA provides states with technical assistance in the following areas: delivery and payment system transformation, substance use disorder and addiction, adverse childhood experiences and trauma, health equity, improving outcomes and reducing cost of care for complex populations, system-level behavioral health and primary care integration, and capacity building in rural and underserved areas. NGA also provides special project opportunities such as policy academies, learning collaboratives, workshops, and roundtables on these topics.

Meet the Team

Healthcare Delivery Library

Small Business Initiatives for Health Coverage and Disease Prevention

Small businesses create a majority of new jobs in the country and make significant contributions to the nation’s economic viability. With more than 26 million small businesses currently operating in ...
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Maternal and Child Health (MCH) Update: States Increase Eligibility for Children’s Health in 2007

Medicaid and the State Children’s Health Insurance Program (SCHIP) provide a critical source of health insurance coverage to low-income pregnant women, infants, and children. This report highlights state trends in ...
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Maternal and Child Health (MCH) Update: States Increase Eligibility for Children’s Health in 2007

Testimony – Medicaid Reform

Good morning and thank you for once again inviting me to appear before the Commission. Reforming the Medicaid system - and ultimately the broader health care system - remains a ...
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Maternal and Child Health (MCH) Update 2005: States Make Modest Expansions to Health Care Coverage

Medicaid continues to be the nation’s largest health insurance program for low-income people. This report examines some of the policies states implemented for providing coverage. Relevant data from each state ...
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Maternal and Child Health (MCH) Update 2005: States Make Modest Expansions to Health Care Coverage

Testimony – Short-term Medicaid Reform (Ray Scheppach)

Governor Sundquist, Governor King and Members of the Commission, I appreciate the opportunity to appear before you today on the National Governors Association's Medicaid Reform proposal. On June 15, 2005, ...
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MCH Update: States Protect Health Care Coverage During Recent Fiscal Downturn

Medicaid is the nation’s largest health insurance program for low-income persons. The data in this report show state efforts around health care coverage for low-income women and children during the ...
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MCH Update: States Protect Health Care Coverage During Recent Fiscal Downturn

Testimony – Long Term Care Insurance Partnerships

Mr. Chairman and members of the committee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to appear before ...
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Testimony – Medicaid Intergovernmental Transfers

Introduction The Medicaid program is the largest and most important health care program in the country. It currently provides $300 billion per year in critical health care and long-term care ...
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MCH Update 2002: State Health Coverage for Low-Income Pregnant Women, Children, and Parents

Since 1990, the NGA Center has reported on the status of state Medicaid coverage of children and pregnant women and innovative maternal and child health initiatives. This has served as ...
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MCH Update 2002: State Health Coverage for Low-Income Pregnant Women, Children, and Parents

Healthcare Delivery Topics

Healthcare Delivery Projects

Next Generation of the Healthcare Workforce Project

Next Generation of the Healthcare Workforce Project

The National Governors Association Center for Best Practices is working with States in a new learning collaborative on strategies to grow and retain the next generation of the healthcare workforce ...
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Improving Care For Stimulant And Polysubstance Use

Improving Care For Stimulant And Polysubstance Use

NGA has hosted a series of learning calls with national experts, Governors’ office staff and senior officials, researchers, academics, and local organizations to better understand the current landscape and challenges ...
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Improving Outcomes for Individuals with Opioid Use Disorder on Community Supervision

Improving Outcomes for Individuals with Opioid Use Disorder on Community Supervision

A project for the development of innovative approaches to improving community supervision of individual with substance use disorder. While states have made progress in implementing and expanding access to treatment ...
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Expanding Access for Medication for Opioid Use Disorder for Justice Involved Individuals

Expanding Access for Medication for Opioid Use Disorder for Justice Involved Individuals

Since 2019, the National Governors Association, in partnership with the American Correctional Association, has supported at least 14 states to expand access to MOUD among justice involved individuals. NGA supported ...
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