Learning from International Models of Accountable Care for High-Need, High-Cost Patients


Health care demand and resulting health care expenditures are increasing rapidly as the global population grows and the burden of chronic diseases increases. To achieve the “triple aim” of improved patient experiences, better outcomes, and lower costs, many other countries besides the United States are experimenting with accountable care models, in which providers are held jointly responsible for achieving a set of quality and cost outcomes for a defined population. Through previous research supported by The Commonwealth Fund, Mark McClellan and his group have developed a model for comparing international accountable care innovations that align health care financing with the goals of better health system performance. Building on that work, this project will identify practical ways for U.S. providers and payers to import delivery system reforms that have been tried and tested in other countries.

Grant Details

Grantee Organization:
Duke University
Principal Investigator:
Mark McClellan, M.D., Ph.D., and Krishna Udayakumar, M.D., M.B.A.
Award Amount:
Approval Date:
November 10, 2015

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