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

Implementing Best Practices Across the Continuum of Care to Prevent Overdose

Implementing Best Practices Across the Continuum of Care to Prevent Overdose

This Roadmap provides Governors with 17 specific, actionable recommendations to prevent overdose across five pillars of the Substance Use Disorder Continuum of Care: foundations, prevention, harm reduction, treatment, and recovery ...
State and Territory Approaches to Improving Care for Individuals Affected by Stimulant and Polysubstance Use

State and Territory Approaches to Improving Care for Individuals Affected by Stimulant and Polysubstance Use

The Stimulant and Polysubstance Use Policy Academy provided states and territories with the opportunity to assess their current strategies and infrastructure for stimulant and polysubstance use using a comprehensive approach ...
Preparing the Next Generation of the Healthcare Workforce: State Strategies for Recruitment and Retention

Preparing the Next Generation of the Healthcare Workforce: State Strategies for Recruitment and Retention

Through their work together, states have learned ways to strengthen their healthcare career pathways, strategies to attract and retain workers, and methods to coordinate these efforts effectively. (Download) Governors have ...
Resource Guide on State Actions to Prevent and Mitigate Adverse Childhood Experiences and Trauma

Resource Guide on State Actions to Prevent and Mitigate Adverse Childhood Experiences and Trauma

States are actively engaged in supporting trauma-informed best practices to mitigate the effects of ACEs and trauma and promote resilience for their communities. (Download) In 2021, the National Governors Association ...
Leveraging Telehealth for Justice-involved Populations With Substance Use Disorders

Leveraging Telehealth for Justice-involved Populations With Substance Use Disorders

This brief reviews activities undertaken by states to expand the use of telehealth for justice-involved individuals with SUDs during the COVID-19 pandemic, share lessons learned, and highlight considerations for Governors ...
Healthcare Workforce

Healthcare Workforce

The NGA Center for Best Practices works with states and territories to strengthen their healthcare workforce with the goals of improving health outcomes and reducing costs, generating high quality data, ...
Prioritizing Resilience: Best Practices on Energy Resilience for Healthcare Facilities

Prioritizing Resilience: Best Practices on Energy Resilience for Healthcare Facilities

This paper contains best practices to best position healthcare facilities when energy stressor events occur, prioritizing healthcare facility energy resilience. (Download) Introduction Over the past several years, the National Governors ...
Youth Mental Health: Promoting access and affordability of quality treatment and care

Youth Mental Health: Promoting access and affordability of quality treatment and care

NGA Chair New Jersey Governor Phil Murphy and Michigan Governor Gretchen Whitmer hosted the third convening of the NGA Chair’s Initiative: Strengthening Youth Mental Health, in Detroit, Michigan, from April ...
State and Federal Actions to Respond to Xylazine

State and Federal Actions to Respond to Xylazine

Xylazine, also known as “tranq,” is a non-opioid drug commonly used for veterinary purposes which has been showing up more frequently in the illicit drug supply. To address the significant ...

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