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

State Efforts to Improve the Continuum of Care for Substance Use Disorder and Opioid Use Disorder

Lessons Learned from the National Governors Association Substance Use Disorder Learning Collaborative in Six States (Download) Executive Summary In June 2020, the National Governors Association (NGA) launched the Strengthening Substance ...
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State Efforts to Improve the Continuum of Care for Substance Use Disorder and Opioid Use Disorder

Healthcare Workforce

To reform State health systems, to improve outcomes and reduce costs, having high quality data and an accessible, flexible and skilled health care workforce is vital to improve the health ...
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Healthcare Workforce

State Actions to Prevent and Mitigate Adverse Childhood Experiences

Preventing and mitigating adverse childhood experiences and toxic stress and promoting resilience are increasingly priorities for Governors. To mount an effective response to ACEs, states may consider a holistic approach ...
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State Actions to Prevent  and Mitigate Adverse Childhood Experiences

Championing Health Equity

This brief synthesizes key accomplishments and lessons learned based on interviews with 10 state COVID-19 health equity task forces. (View/Download) Introduction The COVID-19 pandemic has magnified social, economic, and health ...
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Championing Health Equity

Achieving Progress Toward Health Equity Using Race and Ethnicity Data

By improving the availability of and reducing the inconsistencies with race and ethnicity data, states can better understand inequities exacerbated by COVID-19 and develop effective public health interventions. (View/Download) Introduction ...
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Achieving Progress Toward Health Equity Using Race and Ethnicity Data

Case Study: California’s ACEs Aware Initiative

California’s ACEs Aware initiative takes an innovative, evidence-based approach to addressing adverse childhood experiences and toxic stress by educating and training health care providers who are directly interacting with the ...
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Case Study: California's ACEs Aware Initiative

State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

This issue brief provides a series of multi-sector state and employer strategies to address recruitment and health sector retention of direct care workers while balancing workforce needs, job quality and ...
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State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

4 States and Territories to Participate in NGA Policy Academy on Stimulant and Polysubstance Use

National Governors Association to Work With American Samoa, Connecticut, Michigan and West Virginia on Improving Care for Individuals Who Use Stimulants American Samoa, Connecticut, Michigan and West Virginia will participate ...
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4 States and Territories to Participate in NGA Policy Academy on Stimulant and Polysubstance Use

Webinar: State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

This webinar, held Oct 14, 2021, discusses the NGA publication "State Strategies for Sector Growth and Retention of the Direct Care Health Workforce" Direct care workers, including nursing assistants, home ...
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Webinar: State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

Healthcare Delivery Topics


Healthcare Delivery Projects

Next Generation of the Healthcare Workforce Learning Collaborative

Next Generation of the Healthcare Workforce Learning Collaborative

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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