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

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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State Insurance Marketplace Options

States have regulatory oversight authority over large portions of their private health insurance markets. The NGA Center for Best Practices (NGA Center) works with states to help them understand the ...
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State Health Innovations and State Innovation Models

Through the State Innovation Models (SIM) initiative, 38 states (including territories and the District of Columbia) have received financial and technical support from the federal government to design or test ...
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Medicaid Transformation in States

Governors and state health officials continue to face budget pressure stemming from ongoing increases in health care costs. Increasingly, governors are interested in aligning economic incentives across public and private ...
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State Health Reform Initiatives

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 ...
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NGA Announces Three New Health Initiatives With States

WASHINGTON —The National Governors Association (NGA) announced three new health policy initiatives today to assist states. NGA’s Harnessing the Power of Data to Achieve State Policy Goals: The Foundation for State Success ...
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NGA Comments on the Proposed Rule on the Definition of “Employer” under Section 3(5) of ERISA-Association Health Plans (RIN 1210-AB85)

The Honorable R. Alexander Acosta Secretary of Labor c/o Office of Regulations and Interpretations Employee Benefits Security U.S. Department of Labor, Room N-5655, 200 Constitution Avenue, NW, Washington, DC 20210 ...
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Governors Commend Congress for CHIP Passage

WASHINGTON—The National Governors Association (NGA) today released the following statement on Congress’ reauthorization of the Children’s Health Insurance Program (CHIP) for six years: “The nation’s governors thank Congress for passing ...
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Governors: Families Need A Five-Year CHIP Reauthorization This Week

WASHINGTON—The National Governors Association (NGA) today issued the following statement in support of the House and Senate acting this week to reauthorize the Children’s Health Insurance Program (CHIP) for five ...
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