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

Testimony – Health Care Reform Scheppach

Mr. Chairman and members of the subcommittee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to be a ...

Testimony – Health Care Reform

Mr. Chairman and members of the committee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to be a ...

Testimony – Health Care Reform

Mr. Chairman and members of the committee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to be a ...

Testimony – Long Term Care

Mr. Chairman and members of the committee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to appear before ...

Small Business Initiatives for Health Coverage and Disease Prevention

Small businesses create a majority of new jobs in the country and make significant contributions to the nation’s economic viability. With more than 26 million small businesses currently operating in ...
Maternal and Child Health (MCH) Update: States Increase Eligibility for Children’s Health in 2007

Maternal and Child Health (MCH) Update: States Increase Eligibility for Children’s Health in 2007

Medicaid and the State Children’s Health Insurance Program (SCHIP) provide a critical source of health insurance coverage to low-income pregnant women, infants, and children. This report highlights state trends in ...

Testimony – Medicaid Reform

Good morning and thank you for once again inviting me to appear before the Commission. Reforming the Medicaid system - and ultimately the broader health care system - remains a ...
Maternal and Child Health (MCH) Update 2005: States Make Modest Expansions to Health Care Coverage

Maternal and Child Health (MCH) Update 2005: States Make Modest Expansions to Health Care Coverage

Medicaid continues to be the nation’s largest health insurance program for low-income people. This report examines some of the policies states implemented for providing coverage. Relevant data from each state ...

Testimony – Short-term Medicaid Reform (Ray Scheppach)

Governor Sundquist, Governor King and Members of the Commission, I appreciate the opportunity to appear before you today on the National Governors Association's Medicaid Reform proposal. On June 15, 2005, ...

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