Healthcare Delivery

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.

Governors are focused on finding ways to pay for and deliver care that will lead to improved quality, better outcomes and lower costs in their states. To support these priorities, NGA provides information, research synthesis, policy analysis, technical assistance, special projects, and resources to Governors and their staff on healthcare delivery topics including: Healthcare workforce; Long-term care and older adults; Healthcare and pharmaceutical cost and coverage; Adverse Childhood Experiences (ACEs) and trauma informed care; Health equity. NGA also provides special opportunities for states to engage in more in-depth technical assistance such as through policy academies, learning collaboratives, workshops, and roundtables on these topics.

Services Available

  • Strategic planning facilitation and best practice guidance on healthcare delivery topics or initiatives
  • Strategic guidance, feedback and meeting facilitation support to Governor-appointed healthcare workforce, health equity, trauma, and insurance boards or commissions
  • Annual HHS Advisors Institute for state leaders on emerging healthcare delivery issues
  • Regular communications and briefings to health policy advisors on healthcare delivery topics
  • Customized research briefs and best practice presentations upon request

Featured Projects

Next Generation of the Healthcare Workforce Project Year 3 – Policy Academy and Knowledge Exchange Network

NGA launched the Next Generation of the Healthcare Workforce project in 2022 with support from HRSA. The project supports Governors’ offices and other senior state officials in implementing strategies to strengthen and grow the next generation of the healthcare workforce. Year three of this project will focus on a policy academy and learning network to lay the foundation for new initiatives, funding opportunities, or administrative policies for improving healthcare workforce.


Health Equity Learning Network

In 2023, the NGA Center convened states to discuss approaches and communication strategies regarding health equity. In 2024, the NGA Center will facilitate a learning network of states and territories interested in advancing their health equity goals.


Healthcare Delivery Library

Section 1332 State Innovation Waivers

The Honorable Sylvia Burwell Secretary U.S. Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 The Honorable Jacob Lew Secretary U.S. Department of the Treasury 1500 ...

Health Workforce Policy Academy Closing Meeting

October 21-22, 2015 | Washington, D.C.October 22, 2015 Agenda Presentations:October 21 State Team Presentations Moderator: Lauren Block, program director, Health Division, Center for Best Practices, National Governors AssociationColoradoIndianaKentuckyMinnesotaOklahomaWisconsin Bringing it ...

Medicare Part B

The Honorable John Boehner Speaker U.S. House of Representatives Washington, D.C. 20515 The Honorable Nancy Pelosi Democratic Leader U.S. House of Representatives Washington, D.C. 20515 The Honorable Mitch McConnell Majority ...

Using Data to Better Serve the Most Complex Patients

Across the country, health care systems continue to grapple with how best to serve patients with the greatest needs. These complex care patients, sometimes referred to as super-utilizers, have comorbid ...
Social Impact Bonds for Public Health Programs: An Overview

Social Impact Bonds for Public Health Programs: An Overview

The desire to improve health care outcomes and reduce costs has led states to rethink how they deliver health care services. One approach is to focus on the underlying social ...
Maternal and Child Health Update: States Are Using Medicaid and CHIP to Improve Health Outcomes for Mothers and Children

Maternal and Child Health Update: States Are Using Medicaid and CHIP to Improve Health Outcomes for Mothers and Children

The 2014 Maternal and Child Health Update (MCH Update) presents data gathered by the National Governors Association Center for Best Practices (NGA Center) through a survey of states and territories ...

New Hepatitis C Treatments: Considerations and Potential Strategies for States

The National Governors Association Center for Best Practices (NGA Center) convened an expert roundtable to discuss the opportunities and challenges presented by new hepatitis C virus (HCV) treatments and other ...

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 ...
The Expanding Role of Pharmacists in a Transformed Health Care System

The Expanding Role of Pharmacists in a Transformed Health Care System

Pharmacists have the professional expertise to address key challenges facing the health care system, including the prevalence of people who have multiple chronic conditions and the increased use of more ...

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