To help stretch their limited health care dollars, states have developed a broad range of innovative strategies to improve health system performance. Among them are collaborations between public and private stakeholders to improve quality, programs that reward providers for quality and efficiency, and efforts to improve access to affordable insurance coverage and health services. The Fund's e-newsletter, States in Action: A Bimonthly Look at Innovations in Health Policy, has been tracking noteworthy state efforts since 2005. An editorial advisory board, formed in November 2007, informs the selection of innovations and reviews each issue. With a circulation surpassing 10,000 subscribers, States in Action is a valuable tool for updating local, state, and federal policymakers, researchers, program administrators, and grantmakers on activities and promising initiatives across the nation.