This project examines the implications of global experiences with accountable care for the United States’ healthcare system with the aim of accelerating uptake of successful experiences with accountable care and other innovations in the US by promoting the exchange of best practices and knowledge. Based on prior work supported by the Commonwealth Fund, a team from the Duke-Margolis Center for Health Policy and the Global Health Innovation Center are identifying practical lessons that can be adopted by a wide range of policy makers and payers in the US to accelerate health care reform domestically. Recently, the teams were awarded a follow-on project to accelerate the uptake of successful policy, payment, and delivery innovations from abroad and identify US healthcare systems and/or communities to implement major components of or full integrated delivery and payment reforms.

Since 2016, the Duke-Margolis Center for Health Policy worked with an advisory board comprised of health policy, payment and provider leaders in the US to expand the ‘accountable care framework’ to include internal (organizational capabilities) and external (policy context) factors that matter with policymakers begin to implement reforms that move toward value-based approaches. We have systematically applied this framework to develop in-depth case studies from diverse economic, geographic and health policy settings.

The project case studies and preliminary working paper on lessons learned, released January 30, 2017 at a public event, “Translating International Models of Care for High-Need, High-Cost Populations in the United States” are linked below:

Previous Case Studies: