Sue Birch is the Director of the Washington State Health Care Authority (HCA). As HCA Director, she is focused on transforming the health care delivery system to better serve those for whom the state purchases care, while keeping health care costs in check. Before joining the HCA, Sue spent nearly seven years as the Executive Director of the Colorado Department of Health Care Policy and Financing, where she led the state’s successful implementation of the Affordable Care Ac. A nurse by training, Sue also served as Chief Executive Officer of the Northwest Colorado Visiting Nurse Association.