The Cost of Care: Top Five Challenges for State and Local Health and Human Services Leaders

The delivery of health and human services is one of the most central components of state and local governments' functions. The programs used to deliver these services — reaching well into the billions of dollars in some states — are affected by pernicious and complex constraints (e.g., perennially low budgets and intense recruitment competition with the private sector).

Still, state and local organizations throughout the country have taken creative approaches to these and other problems. 

Download this GBC Issue Brief to learn about: 

  • The biggest challenges flagged by agency leaders and officials across a variety of job functions
  • The particularities of managing local policy challenges in an especially complicated federal framework
  • Strategies devised and implemented by HHS officials from states throughout the nation's regions

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