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

Extension of the Children’s Health Insurance Program

The Honorable Orrin Hatch Chairman Senate Committee on Finance Washington, DC 20510 The Honorable Ron Wyden Ranking Member Senate Committee on Finance Washington, DC 20510 The Honorable Fred Upton Chairman ...

An Opportunity for States to Fund Community-Based Prevention Programs

Community-based prevention programs (CBPPs) can serve as an important tool for states to improve health outcomes and reduce costs. New federal authority for states to reimburse for preventive services for ...
2012 Maternal and Child Health Update: The Changing Environment of Medicaid/CHIP Coverage for Children and Improving Birth Outcomes

2012 Maternal and Child Health Update: The Changing Environment of Medicaid/CHIP Coverage for Children and Improving Birth Outcomes

The 2012 Maternal and Child Health (MCH) update presents data gathered by the National Governors Association (NGA) Center for Best Practices through a survey of states. (View/Download) The 2012 Maternal ...
Improving Birth Outcomes in Medicaid

Improving Birth Outcomes in Medicaid

Women who begin their pregnancies in poor health are more likely to have negative birth outcomes than healthy women, according to a paper released by the National Governors Association. Improving ...

Effect of Provider Payment Reforms on Maternal and Child Health Services

States are actively pursuing reforms to enhance the quality and cost-effectiveness of health care services provided to pregnant women and children, according to a report released by the National Governors ...

Strategies for Curbing Health Insurance Costs for State Employees: Benefit Design, Wellness Programs and Data Mining

With continued strains on state budgets, governors are finding innovative ways to do more with less across state government. Included in those budget strains are the rising health care costs ...

Strategies for States to Encourage and Fund Community Care Teams

Strategies for States to Encourage and Fund Community Care Teams outlines the role that community care teams can play in improving the quality and value of health care provided by ...

Long-Term Services and Supports: Challenges and Opportunities for States in Difficult Budget Times

An effective system of long-term services and supports (LTSS) is essential to enable older adults and persons with disabilities to live independently in the community. More than 3 million people ...

State Perspectives on Insurance Exchanges: Implementing Health Reform in an Uncertain Environment

The three major components of the Patient Protection and Affordable Care Act of 2010 (ACA) — insurance reform, Medicaid expansions, and the establishment of health insurance exchanges — are primarily ...

State Health Insurance Exchanges and Children’s Coverage: Issues for State Design Decisions

As states consider implementation options under the Affordable Care Act, they face a series of critical decisions that will affect the design of insurance exchanges. Many of those decisions have ...
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