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

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 ...

Health Care Workforce Planning

An accessible, well-trained and flexible health care workforce is vital to governors to improve the health of residents, control cost and accelerate economic development within the state. An adequate workforce ...

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 ...

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 ...

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 ...

Data, Privacy and Interoperability

New and innovative health care delivery and the payment infrastructure to support those reforms must be built on the interoperable exchange of health data. Interoperable health data exchange requires that ...

Interagency Collaboration Toward Population Health

The current conversation about how to reform the nation’s health care system centers on the important task of finding ways to pay for and delivery high quality care that leads ...

Data-Informed Policy

Data can serve as an extremely powerful tool to set governors’ priorities and inform their decision-making. State leaders are in a unique position to use data to create policies that ...

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 ...

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 ...