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 Our Team


Healthcare Delivery Library

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

MCH Update 2001: Trends in State Health Insurance Coverage of 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 2001: Trends in State Health Insurance Coverage of Pregnant Women, Children, and Parents

Testimony – Medicare, Prescription Drugs, and Current Coverage Options

Mr. Chairman and members of the committee, I appreciate the opportunity to appear before you today on behalf of the nation's Governors. Prescription Drug Coverage for Seniors One of the ...
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Maternal and Child Health (MCH) Update: States Have Expanded Eligibility and Increased Access to Health Care for Pregnant Women and Children

In January 2001, the Health Care Financing Administration (HCFA) announced that more than 3.3 million previously uninsured children now have health insurance through state SCHIP programs. States are now beginning ...
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Maternal and Child Health (MCH) Update: States Have Expanded Eligibility and Increased Access to Health Care for Pregnant Women and Children

Testimony – Medicare Reform

Mr. Chairman and members of the committee, I appreciate the opportunity to appear before you today on behalf of the nation's Governors. One of the most critical responsibilities we have ...
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Testimony – Medicare Reform

Chairman Roth, Senator Moynihan, distinguished Committee Members, thank you for inviting me to testify on the topic of Medicare financing. I am pleased to represent the nation's Governors on an ...
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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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