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

Webinar on Addressing Wages of the Direct Care Workforce through Medicaid Policies

Webinar on Addressing Wages of the Direct Care Workforce through Medicaid Policies

This webinar, held November 10, 2022, discusses the NGA publication “Addressing Wages of the Direct Care Workforce through Medicaid Policies”. Recruiting and retaining direct care workers, including certified nursing assistants ...
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Preparing the Next Generation of the Healthcare Workforce

Preparing the Next Generation of the Healthcare Workforce

The Next Generation of the Healthcare Workforce Fall Convening featured in-depth report outs on outcomes and accomplishments from NGA’s four Learning Collaborative States – California, Colorado, Missouri, and Wyoming. by ...
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Addressing Wages of The Direct Care Workforce Through Medicaid Policies

Addressing Wages of The Direct Care Workforce Through Medicaid Policies

The direct care workforce represents a critical component of the United States employment market, yet pay remains low. States have taken a variety of actions through provider rate increases and ...
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Expanding Access to Medications for Opioid Use Disorder Treatment for Justice-Involved Populations Under Community Supervision: Best Practices from Four States

Expanding Access to Medications for Opioid Use Disorder Treatment for Justice-Involved Populations Under Community Supervision: Best Practices from Four States

States discovered a variety of policy and programmatic approaches to improve the MOUD landscape. States were able to pilot interagency collaborations, launch training and education curricula and explore innovative solutions ...
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State Efforts to Improve the Continuum of Care for Substance Use Disorder and Opioid Use Disorder

State Efforts to Improve the Continuum of Care for Substance Use Disorder and Opioid Use Disorder

Lessons Learned from the National Governors Association Substance Use Disorder Learning Collaborative in Six States (Download) Executive Summary In June 2020, the National Governors Association (NGA) launched the Strengthening Substance ...
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Healthcare Workforce

Healthcare Workforce

To reform State health systems, to improve outcomes and reduce costs, having high quality data and an accessible, flexible and skilled health care workforce is vital to improve the health ...
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State Actions to Prevent  and Mitigate Adverse Childhood Experiences

State Actions to Prevent and Mitigate Adverse Childhood Experiences

Preventing and mitigating adverse childhood experiences and toxic stress and promoting resilience are increasingly priorities for Governors. To mount an effective response to ACEs, states may consider a holistic approach ...
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Championing Health Equity

Championing Health Equity

This brief synthesizes key accomplishments and lessons learned based on interviews with 10 state COVID-19 health equity task forces. (View/Download) Introduction The COVID-19 pandemic has magnified social, economic, and health ...
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Achieving Progress Toward Health Equity Using Race and Ethnicity Data

Achieving Progress Toward Health Equity Using Race and Ethnicity Data

By improving the availability of and reducing the inconsistencies with race and ethnicity data, states can better understand inequities exacerbated by COVID-19 and develop effective public health interventions. (View/Download) Introduction ...
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Case Study: California's ACEs Aware Initiative

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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