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

State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

This issue brief provides a series of multi-sector state and employer strategies to address recruitment and health sector retention of direct care workers while balancing workforce needs, job quality and ...
4 States and Territories to Participate in NGA Policy Academy on Stimulant and Polysubstance Use

4 States and Territories to Participate in NGA Policy Academy on Stimulant and Polysubstance Use

National Governors Association to Work With American Samoa, Connecticut, Michigan and West Virginia on Improving Care for Individuals Who Use Stimulants American Samoa, Connecticut, Michigan and West Virginia will participate ...
Webinar: State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

Webinar: State Strategies for Sector Growth and Retention of the Direct Care Health Workforce

This webinar, held Oct 14, 2021, discusses the NGA publication "State Strategies for Sector Growth and Retention of the Direct Care Health Workforce" Direct care workers, including nursing assistants, home ...
Lessons Learned in State Collaboration to Address Substance Use Disorder and Justice-Involved Individuals

Lessons Learned in State Collaboration to Address Substance Use Disorder and Justice-Involved Individuals

This policy brief highlights lessons learned from collaborative efforts in Hawai‘i, Pennsylvania and West Virginia between SAAs and SSAs to address SUD issues within justice-involved populations. (Download) Executive Summary A ...

Substance Use Disorder and Addiction

Governors have long been at the forefront of efforts to prevent and treat opioid use disorder (OUD) and substance use disorder (SUD), working with stakeholders to mount a comprehensive response ...
National Recovery Month - 2021

National Recovery Month – 2021

National Recovery Month is held each September to promote and support new evidence-based treatment and recovery practices, the emergence of a strong and proud recovery community, and the dedication of ...
Partnering With Tribal Nations For Covid-19 Vaccinations: A Case Study Of Alaska

Partnering With Tribal Nations For Covid-19 Vaccinations: A Case Study Of Alaska

Alaskan tribal communities and state leaders adapted existing vaccination infrastructure for co-leadership, communication, problem solving, and health care across a challenging landscape to support their COVID-19 response. (View/Download) Introduction Alaska’s ...
A Case Study of The Virginia Covid-19 Equity Leadership Task Force And Health Equity Working Group

A Case Study of The Virginia Covid-19 Equity Leadership Task Force And Health Equity Working Group

This case study is part of a series that features innovative state practices to address health equity in COVID-19 response across the country. (Download) The Commonwealth of Virginia has integrated ...
Governors on Criminal Justice and Public Safety Issues

Governors on Criminal Justice and Public Safety Issues

Governors’ 2021 State of the State addresses confirm that while the challenges evolve in shape and scale, public safety and criminal justice issues remain top priorities across the country. By ...

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