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

Medicare Part B

The Honorable Paul Ryan Speaker U.S. House of Representatives Washington, D.C. 20515 The Honorable Nancy Pelosi Democrat Leader U.S. House of Representatives Washington, D.C. 20515 The Honorable Mitch McConnell Majority ...

NGA Helps Washington Secure Medicaid Waiver Approval

Washington Gov. Jay Inslee has announced that the state received approval from the Centers for Medicare and Medicaid Services for a five-year Medicaid demonstration (often referred to as “waiver”) that will ...

Medicaid High-Need, High-Cost Programs: Promising Practices for Evaluation Metrics

For three years, NGA has been working with 10 states and 1 territory to develop statewide programs that transform the care of the highest-need and highest-cost Medicaid enrollees. The goal ...

States Improve Health Care Data Flow

The National Governors Association (NGA) today announced that three states, Illinois, Louisiana and Michigan, will receive support to address policy issues that limit the flow of health care data among providers. The project will ...

NGA Releases Medicaid Toolkit at Press Event in Washington, D.C.

Today at an event at the National Press Club, experts from the National Governors Association Center for Best Practices (NGA Center) Health Division discussed a new guide, The Future of Medicaid ...

The Future of Medicaid Transformation: A Practical Guide for States

The National Governors Association (NGA) supports governors and the crucial role they play in state Medicaid transformation. States seeking approval for broad changes to their Medicaid programs often face a ...

NGA Releases New Resource for State Health Care Leaders

State governments around the nation have a long history of acting as health care innovators and pioneers. With the population aging and more Americans becoming eligible for Medicaid, states are ...

Medicaid Managed Care

Ms. Vikki Wachino Director, Center for Medicaid and CHIP Services Centers for Medicare and Medicaid Services Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 Re: ...

NGA Helps Alabama Secure Medicaid Waiver Approval

Alabama Gov. Robert Bentley has announced the Alabama Medicaid Agency’s regional care organization plan, which provides medical care to most Alabamians on Medicaid, has been approved by the Centers for Medicare ...

Medicaid Health Care Purchasing Compendium

States face the ongoing challenge of managing the costs of their Medicaid programs while ensuring beneficiaries have access to quality health care. A more rigorous purchasing approach can help states ...