Affordable, quality health care. For everyone.

Transfer of Payment and Delivery System Innovations from Abroad to the United States, Phase 1

Grantee Organization

Duke University

Principal Investigator

Mark McClellan, M.D., Ph.D., M.P.A.


5/1/17 - 12/31/17

Award Amount


Approval Date

In phase 1 of this project, McClellan and his team will: a) identify and engage potential implementation sites and stakeholders, including payers and regulators, in codeveloping a model for transferring international accountable care innovations to the U.S.; b) using a “client‐centered” approach, define the problems in the U.S. care delivery system that must be addressed; c) establish a network of experienced implementation partners, including the Institute for Healthcare Improvement (IHI); and d) define what success would look like. If this work proceeds satisfactorily, phase 2 support will be requested to undertake a global scan for effective approaches to caring for high‐need, high‐cost patients and payment mechanisms that drive better quality and lower costs. Phase 3 activities would center on analyzing and modeling of the impact of these innovations, while phase 4 would pilot a set of innovations in a U.S. health system or community.

Grant Details

Publication Date: May 14, 2018