Healthcare Delivery

The National Governors Association Center for Best Practices (NGA Center) is working closely with Governors and senior state staff to develop and implement evidence-based healthcare delivery initiatives. We work with states to assist them to in reforming their Medicaid, state employee health insurance programs, health insurance exchanges and other sources of coverage to drive towards broader delivery and payment system transformation. Such reforms include implementation of new risk-based payment models focused on health outcomes, identifying early intervention tools to address potential behavioral health needs for children and creating care delivery models for high needs high cost patients. In assisting states with these efforts, we provide targeted technical assistance and served as a conduit between states and other partners nationwide, including the federal government and leading experts. As states continue to transform their health care systems, the NGA Center will share lessons and best practices to help facilitate further improvements in patient care and cost sustainability.

NGA Resources

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Case Study: California’s ACEs Aware Initiative

California’s ACEs Aware initiative takes an innovative, evidence-based approach to addressing adverse childhood experiences and toxic stress by educating and training health care providers who are directly interacting with the ...
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State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

This issue brief provides a series of multi-sector state and employer strategies to address recruitment and health sector retention of direct care workers while balancing workforce needs, job quality and ...
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Webinar: State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

This webinar, held Oct 14, 2021, discusses the NGA publication "State Strategies for Sector Growth and Retention of the Direct Care Health Workforce" Direct care workers, including nursing assistants, home ...
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Partnering With Tribal Nations For Covid-19 Vaccinations: A Case Study Of Alaska

Alaskan tribal communities and state leaders adapted existing vaccination infrastructure for co-leadership, communication, problem solving, and health care across a challenging landscape to support their COVID-19 response. (View/Download) Introduction Alaska’s ...
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A Case Study of The Virginia Covid-19 Equity Leadership Task Force And Health Equity Working Group

This case study is part of a series that features innovative state practices to address health equity in COVID-19 response across the country. (Download) The Commonwealth of Virginia has integrated ...
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Governors Lead on Expanding Access to Affordable Broadband for Telehealth Services

The essential connection between internet access and access to health care has never been more pronounced. The COVID-19 pandemic brought an unprecedented level of need for telehealth to serve as ...
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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 Strategies to Advance Health Data Interoperability

The goal of this paper is to share strategies governors and other state leaders can pursue to expand access to data and technology that will improve the health and wellbeing ...
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Supporting A Trained Direct Care Workforce In Facility Settings During And After The Covid-19 Pandemic

The direct care workforce is a critical component of a well-functioning health system. These occupations are reliable entry points into the health sector, but limited wage potential as well as ...
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Maternal and Child Health Update 2020

The Maternal and Child Health Update includes findings from a survey of senior state and territory health officials regarding MCH policy topics. Questions are modified from year to year to ...
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