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

The Role of Physician Assistants in Health Care Delivery

Physician assistants (PAs) play a broad and expanding role in the health care system, working in a variety of practice areas and settings because of their adaptably and lower cost, ...

Health Workforce Policy Academy Meeting Building a Transformed Health Care Workforce: Moving from Planning to Implementation

May 19-20, 2014| Washington, D.C. The National Governors Association Center for Best Practices hosted a meeting on May 19-20, 2014, to bring together the seven states participating in the Building ...

States to Focus on Health Care Workforce

WASHINGTON—The National Governors Association (NGA) today announced the selection of seven states—Colorado, Indiana, Kentucky, Minnesota, North Carolina, Oklahoma and Wisconsin—to develop and implement statewide plans for their health care workforce ...

States Work to Improve Access to Basic Oral Health Care

WASHINGTON—Basic oral health is an important determinant of overall health, yet access remains a challenge for many Americans. Dental hygienists can play a critical role in improving access to high-quality ...

The Role of Dental Hygienists in Providing Access to Oral Health Care

Basic oral health is an important determinant of overall health, yet access remains a challenge for many Americans. Dental hygienists can play a critical role in improving access to high-quality ...
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 ...

The Role of Nurse Practitioners in Meeting Increasing Demand for Primary Care

One way states could increase access to primary care for their residents is to consider easing their scope of practice restrictions and modifying their reimbursement policies to increase the role ...

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 ...

Sustaining State Health Information Exchange: A State Toolkit

Many tools have been proposed to correct the ills of the health care system, but there is likely no single solution. The electronic exchange of health information is integral to ...