Healthcare Cost and Coverage


The U.S. health care system is currently undergoing significant change. Much of the change happening today is focused on finding ways to pay for and deliver care that will lead to improved quality, better outcomes and lower costs. 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.

NGA Resources

State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19

State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19

This issue brief summarizes four key areas where state-driven strategies can standardize and streamline broader adoption of value-based payment models, supplemented by case examples and priority areas where additional federal ...
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BALANCING MEDICAID BUDGETS AND SERVING STATE RESIDENTS DURING A PANDEMIC

BALANCING MEDICAID BUDGETS AND SERVING STATE RESIDENTS DURING A PANDEMIC

This paper outlines key factors for Governors and state leaders to consider when balancing state budgets and making difficult decisions about funding Medicaid during the COVID-19 crisis and subsequent economic ...
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State, Local Governments Urge Enhanced Federal Health Care Match During COVID-19 Pandemic

Associations representing states, territories, counties, cities and towns call on Congress to provide an enhanced federal share for the Medicaid program in the next bipartisan COVID-19 relief bill.Boosting the Federal ...
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Organizations' Letter Advocating for Enhanced Federal Medicaid Match

Organizations’ Letter Advocating for Enhanced Federal Medicaid Match

The Honorable Mitch McConnellMajority Leader, United States SenateU.S. Capitol Building, Room S-230Washington, DC 20510The Honorable Chuck SchumerMinority Leader, United States SenateU.S. Capitol Building, Room S-224Washington, DC 20510 The Honorable Nancy ...
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Medicaid and Complex Care

States continue to drive toward improving the health of their residents and, because health care costs are a large and growing component of state budgets, governors also are looking for ...
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Letter Urging CARES Act Funding for Medicaid Providers

The Honorable Alex AzarSecretary, U.S. Department of Health and Human Services200 Independence Avenue SWWashington, DC 20201The Honorable Seema VermaAdministrator, Centers for Medicare & Medicaid ServicesU.S. Department of Health and Human ...
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Cover Photo

Improving Care and Managing Costs for Dual Eligibles

Highlights From An NGA Roundtable (View/Download) Executive Summary Individuals who are eligible for both Medicare and Medicaid, commonly referred to as dual eligibles, have some of the most complex and ...
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Protecting Consumers from Surprise Medical Bills

Protecting Consumers from Surprise Medical Bills

Governors and state legislators are increasingly focused on the impact that surprise medical bills have on consumers. In a 2018 Kaiser Family Foundation consumer survey, 39% of respondents said that ...
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Return on Investment and Prevention

With national attention on transforming health care systems, governors and other state leaders are focused on finding interventions that improve population health and health care quality while reducing health care ...
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State Options Under ACA Section 1332

Section 1332 of the Affordable Care Act (ACA) gives states significant flexibility to change many elements of their individual and small group private health insurance markets. The ACA provided flexibility ...
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