Transfer of Payment and Delivery System Innovations from Abroad to the United States, Phase 2


Faced with the challenge of providing good-quality, integrated, and efficient care to high-need, high-cost patients, many countries, including the United States, are experimenting with accountable care models. In phase 1 of this multiphase project, Dr. Mark McClellan and his team laid the foundation for transferring to the U.S. effective accountable care delivery and payment innovations from abroad that align with local, state, and national payment reforms. This work included defining the problems, identifying potential implementation sites, engaging stakeholders, and enlisting the Institute for Healthcare Improvement (IHI) as a partner. In phase 2, the project team will scan the globe for effective, financially sustainable, and scalable care delivery and payment models, particularly those that improve care and outcomes for high-need, high-cost patients. The team will develop clusters of complementary innovations — in care delivery, technology, workforce development, and value-based payment, for example — and analyze ways in which these could be adapted to a particular type of provider organization or payment environment. If this work proceeds satisfactorily, support will be requested for at least the first of the two final phases of activities. Phase 3 would center on modeling the impact of these innovation packages (estimated funding of $80,000-$100,000 for five months). Phase 4 would pilot a set of innovations in a U.S. health system or community (18 months, with estimated funding to be based on phase 3). This project will support the adoption of successful accountable care innovations from abroad that could help to challenge the status quo in U.S. health care delivery.

Grant Details

Grantee Organization:
Duke University
Principal Investigator:
Mark McClellan, M.D., Ph.D., M.P.A., and Krishna Udayakumar, M.D., M.B.A.
Award Amount:
Approval Date:
November 14, 2017

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