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

Youth Mental Health and Substance Use

Youth Mental Health and Substance Use

In a time when the drug supply is more lethal than ever, preventing substance use and mitigating risk among youth is a critical bipartisan priority. (Download) Mental health conditions and ...
Governors Lead the Way on Behavioral Health Workforce Needs

Governors Lead the Way on Behavioral Health Workforce Needs

New research from the National Council for Mental Wellbeing shows that 83% of the behavioral health workforce believes providers will not be able to meet the demand for mental health ...
Governors and States are Advancing Equitable Rural Economic Development and Healthcare

Governors and States are Advancing Equitable Rural Economic Development and Healthcare

Supporting rural communities is a top priority for Governors, and states and territories are working to advance solutions in this area, particularly with respect to economic development and healthcare. More ...
Public Health and Healthcare: Creating a Culture of Accountability and Coordination

Public Health and Healthcare: Creating a Culture of Accountability and Coordination

Optimal health is reliant on coordinated, and at times, integrated public health and healthcare systems. Public health systems aim to support population-level health through the prevention of acute and chronic ...
DPAD Learning Collaborative

DPAD Learning Collaborative

In January 2023, participants from Illinois, Nevada, North Carolina and Pennsylvania attended the kickoff meeting for the National Governors Association’s (NGA) Learning Collaborative on Strategies to Support the Development of ...
State Strategies to Support Marketplace Plan Enrollment as the Medicaid Continuous Coverage Requirement Winds Down

State Strategies to Support Marketplace Plan Enrollment as the Medicaid Continuous Coverage Requirement Winds Down

Just as states have customized their Medicaid programs and State-Based Marketplaces to meet the needs of their populations, they have been developing innovative approaches to prepare for the unwinding of ...
Supporting State Efforts to Address Healthcare Challenges

Supporting State Efforts to Address Healthcare Challenges

Reflections on the Governors' Health and Human Services Policy Advisors Institute 2022 In the Fall of 2022 the National Governors Association Center for Best Practices (NGA Center) hosted Governors’ Health ...
Webinar on Addressing Wages of the Direct Care Workforce through Medicaid Policies

Webinar on Addressing Wages of the Direct Care Workforce through Medicaid Policies

This webinar, held November 10, 2022, discusses the NGA publication “Addressing Wages of the Direct Care Workforce through Medicaid Policies”. Recruiting and retaining direct care workers, including certified nursing assistants ...
Preparing the Next Generation of the Healthcare Workforce

Preparing the Next Generation of the Healthcare Workforce

The Next Generation of the Healthcare Workforce Fall Convening featured in-depth report outs on outcomes and accomplishments from NGA’s four Learning Collaborative States – California, Colorado, Missouri, and Wyoming. by ...

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