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

Maternal and Child Health Update 2020

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 ...
NGA Publications 2020

NGA Publications 2020

The coronavirus may be the most critical challenge of 2020, but there are a number of other important issues Governors have addressed this year. Timothy Blute | Director, NGA Center ...
NGA Vaccine Survey of States and Territories

NGA Vaccine Survey of States and Territories

States and territories will need additional resources, funding and support to carry-out the most expansive vaccination plan in history. (View/Download) Summary NGA surveyed states and territories in November and December ...
The Future of  State Telehealth Policy

The Future of State Telehealth Policy

This paper summarizes the types of telehealth policy flexibilities provided by states and the federal government during the COVID-19 pandemic and longer-term considerations for Governors regarding the impact of such ...
Supporting State Behavioral Health Systems During COVID-19 Response and Recovery

Supporting State Behavioral Health Systems During COVID-19 Response and Recovery

This paper identifies for Governors the key issues that are currently challenging state behavioral health systems, along with actions that state agencies may consider to support and sustain behavioral health ...
Understanding the Effects of Medicaid Innovation

Understanding the Effects of Medicaid Innovation

Considerations for Evaluating State Medicaid Policies (View/Download) Executive Summary Section 1115 Medicaid demonstrations are important vehicles for experimenting with new Medicaid policies. Rigorous evaluations of these policies, if done well, ...
Working Together for Vaccine Distribution

Working Together for Vaccine Distribution

The distribution and implementation of the vaccine is a massive undertaking that cannot be managed without significant logistical coordination, planning and financial assistance between states and the federal government. States ...
State Actions Addressing COVID-19 in Long-Term Care Facilities

State Actions Addressing COVID-19 in Long-Term Care Facilities

This table provides an overview of notable state actions to address COVID-19 in long-term care facilities. (View/Download) This table provides an overview of notable state actions to address COVID-19 in ...
Improving Outcomes and Reducing Cost of Care for Complex Care Populations With Behavioral Health and Social Support Needs: Toolkit for Governors

Improving Outcomes and Reducing Cost of Care for Complex Care Populations With Behavioral Health and Social Support Needs: Toolkit for Governors

The toolkit features lessons learned from Arizona and Michigan, who served as models for the participating states, and supplements the NGA road map for building complex care programs and the ...
Expanding Access To Non-Opioid Management Of Chronic Pain

Expanding Access To Non-Opioid Management Of Chronic Pain

This report synthesizes the existing evidence base for non-opioid therapies, examines Medicaid coverage policies, and identifies barriers and opportunities for scaling evidence-based integrated pain management delivery systems. (View/Download) Executive Summary ...
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