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

Program Contact:

  • Anna Heard, Senior Policy Analyst, Health
  • Chyenne Tran, Policy Analyst
  • Grace Burns, Policy Coordinator

Focus Areas

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 of the States Opioid Survey and Analysis

State of the States Opioid Survey and Analysis

Amidst a global pandemic that has challenged states’ capacities to respond to increasing overdose deaths, collecting and sharing information across partners to effectively respond to new challenges will be more ...
Governors Lead on Expanding Access to Affordable Broadband for Telehealth Services

Governors Lead on Expanding Access to Affordable Broadband for Telehealth Services

The essential connection between internet access and access to health care has never been more pronounced. The COVID-19 pandemic brought an unprecedented level of need for telehealth to serve as ...
Community Supervision and Treatment of Individuals With Substance Use Disorder

Community Supervision and Treatment of Individuals With Substance Use Disorder

This policy brief highlights the common challenges and opportunities for governors and state officials to inform state and local policy development and improve outcomes for individuals with SUD who are ...
State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19

State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19

This issue brief summarizes four key areas where state-driven strategies can standardize and streamline broader adoption of value-based payment models, supplemented by case examples and priority areas where additional federal ...
BALANCING MEDICAID BUDGETS AND SERVING STATE RESIDENTS DURING A PANDEMIC

BALANCING MEDICAID BUDGETS AND SERVING STATE RESIDENTS DURING A PANDEMIC

This paper outlines key factors for Governors and state leaders to consider when balancing state budgets and making difficult decisions about funding Medicaid during the COVID-19 crisis and subsequent economic ...
State Strategies to Advance Health Data Interoperability

State Strategies to Advance Health Data Interoperability

The goal of this paper is to share strategies governors and other state leaders can pursue to expand access to data and technology that will improve the health and wellbeing ...
Case Study: Building Strong Brains Tennessee

Case Study: Building Strong Brains Tennessee

The COVID-19 pandemic may be increasing Adverse Childhood Experiences and trauma and demonstrates the importance of responding to them at the state level. (View/Download) Executive Summary Adverse childhood experiences (ACEs) ...
Supporting A Trained Direct Care Workforce In Facility Settings During And After The Covid-19 Pandemic

Supporting A Trained Direct Care Workforce In Facility Settings During And After The Covid-19 Pandemic

The direct care workforce is a critical component of a well-functioning health system. These occupations are reliable entry points into the health sector, but limited wage potential as well as ...
Expanding Access to Medications for Opioid Use Disorder in Corrections and Community Settings

Expanding Access to Medications for Opioid Use Disorder in Corrections and Community Settings

During this webinar, NGA and ACA provided an overview of a step-by-step guide for governors and state officials to expand access to medications for opioid use disorder (MOUD) with the goal ...

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