Health Policy in a Global Context

In collaboration with a global network of health providers, payers, and policymakers, Duke-Margolis conducts research in multiple countries to identify, analyze, and evaluate strategies for health care payment and delivery reform and biomedical innovation. While each healthcare system exists in its own cultural, economic, and structural context, there is global demand to achieve higher value care that reaches more people at a cost that is sustainable for governments and individuals.

Our Approach

Globally, policymakers and health systems are facing similar cost and quality issues and finding solutions that may be translated across international borders.  In the U.S., providers have reported significant institutional and cultural barriers when transitioning away from a fee-for-service payment model toward value-based payment approaches. Duke-Margolis has developed a comprehensive framework that can be used to integrate available qualitative and quantitative data on accountable care across multiple national contexts.

Focus Areas

Global Accountable Care Strategy and Policy

Current Portfolio

Implications of Global Experiences with Accountable Care

Accountable Care Policy Gaps: Lessons from the UK and US

Accountable Care Reforms Improve Women's And Children's Health In Nepal (link to Health Affairs)

Completed Projects

Global Health Innovation

Current Portfolio

Driving High-Value Healthcare in Singapore

Dialogue on US-China Relations: Healthcare Track

African Collaborative for Health Financing Solutions (ACS)

Regional Action through Data (RAD)

Completed Projects

Mapping Global Health Research and Development


Our Partners


Duke Global Health Innovation Center

The Center for Policy Impact in Global Health  

Our Team

Mark McClellan, MD, PhD
Director, Duke-Margolis Center for Health Policy

Andrea Thoumi, MSc, MPP
Research Director, Global Health

Krishna Udayakumar, MD, MBA
Associate Professor of the Practice of Global Health, Duke Global Health Institute
Associate Professor - Track IV in Medicine, General Internal Medicine 

Jonathan Gonzalez-Smith, MPAff
Research Associate

Alexander Gunn, MBS
Research Assistant