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.

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Healthcare Delivery Library

The Role of Nurse Practitioners in Meeting Increasing Demand for Primary Care

One way states could increase access to primary care for their residents is to consider easing their scope of practice restrictions and modifying their reimbursement policies to increase the role ...
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Strategies for Curbing Health Insurance Costs for State Employees: Benefit Design, Wellness Programs and Data Mining

With continued strains on state budgets, governors are finding innovative ways to do more with less across state government. Included in those budget strains are the rising health care costs ...
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Six Strategies for Reducing Prescription Drug Abuse

The abuse of prescription drugs is the fastest growing drug problem in the United States, and is the most common type of drug abuse after marijuana use among teens between ...
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Strategies for States to Encourage and Fund Community Care Teams

Strategies for States to Encourage and Fund Community Care Teams outlines the role that community care teams can play in improving the quality and value of health care provided by ...
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State Perspectives on Insurance Exchanges: Implementing Health Reform in an Uncertain Environment

The three major components of the Patient Protection and Affordable Care Act of 2010 (ACA) — insurance reform, Medicaid expansions, and the establishment of health insurance exchanges — are primarily ...
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State Health Insurance Exchanges and Children’s Coverage: Issues for State Design Decisions

As states consider implementation options under the Affordable Care Act, they face a series of critical decisions that will affect the design of insurance exchanges. Many of those decisions have ...
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Sustaining State Health Information Exchange: A State Toolkit

Many tools have been proposed to correct the ills of the health care system, but there is likely no single solution. The electronic exchange of health information is integral to ...
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2010 Maternal and Child Health Update: States Make Progress Towards Improving Systems of Care

The 2010 Maternal and Child Health Update presents 2010 data gathered from U.S. states and territories in the annual maternal and child health survey conducted by the National Governors Association ...
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2010 Maternal and Child Health Update: States Make Progress Towards Improving Systems of Care

State Roles in Delivery System Reforms

With the cost of health care rising faster than the gross domestic product (GDP), it is vital for the United States to improve the delivery of health care services. While ...
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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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