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

Governor Considerations Regarding Crisis Standards of Care

As part of state public health emergency preparedness initiatives, many states have developed guidelines or frameworks to address crisis standards of care (CSC). CSC are intended to help health systems ...
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Gubernatorial Strategies for Telehealth

As COVID-19 continues to spread throughout the nation, states are taking sweeping actions to restrict individuals from congregating and encouraging self-quarantine to flatten the curve of the virus. One of ...
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Gubernatorial Strategies for Health Care Workforce and Facility Capacity

COVID-19 is posing a serious threat to the nation’s health care workforce. As cases continue to rise, there will be increasing demand and strain on the health care workforce in ...
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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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Information Sharing 101: Protecting Public Health Data

NGA is excited to announce the launch of a webinar series on Legal Preparedness for Public Health Emergencies. This four-part series is hosted in collaboration with the U.S. Centers for ...
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NGA Selects 5 States to Address Managed Care as a Tool to Drive Health System Change

The National Governors Association (NGA) competitively selected five states — Maryland, Nevada, North Carolina, Puerto Rico and Wisconsin — to participate in a new project focused on implementing best practices ...
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NGA Selects 6 States to Address the Health Care Workforce Needs of a Modern Delivery System

The National Governors Association (NGA) competitively selected six states -- Connecticut, Michigan, Nevada, New Mexico, New York and Oklahoma -- to participate in a new project to advance capacity to ...
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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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Opioid Reference Guide for New Administrations

Developed by the NGA Center through a survey and extensive consultation with senior state officials and other national experts, our new opioid "Reference Guide for New Administrations" highlights key questions, ...
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Health Care Workforce Redesign

Scope of Practice Scope of practice defines the types of services that a particular health care worker can provide as well as the circumstances under which such services can be ...
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