As we concluded 2024, we found ourselves reflecting on the Collaborative on Contracting Organizations for Health-Related Services and how far it has come over the last nine months. Organized by USAID’s Health Systems for Tuberculosis (HS4TB) project, led by Management Sciences for Health (MSH) in partnership with the Joint Learning Network for Universal Health Coverage (JLN), we have convened 40 participants from 12 countries in 4 virtual meetings and one in-person gathering in India. Country members are keen to learn about government-led health contracting: hiring not-for-profit (NGO and CSO) and/or for-profit organizations for specific health or other health-related services using a country’s own procurement systems and domestic funds. It is an essential element in mixed (public plus private) health systems where the public sector can leverage the skill sets and engage diverse health system actors, resulting in a more sustainable health system.