Accountable Care Policy Gaps: Lessons from the UK and US

Accountable Care Policy Gaps: Lessons from the UK and US


Leaders in the US and England are working to achieve the Triple Aim by implementing new policy paradigms to increase quality of care, curb costs, and improve population health. Both countries have adopted similar approaches, with England seeking to support the development of organizations similar to accountable care models in the United States.

Duke-Margolis was contracted by the Health Foundation to identify the key accountable care strategies and opportunity areas for improvements in policies to support care transformation activities occurring in England. Through interviews with health care organizations piloting innovative reforms and key NHS policymakers, we extract a set of organizational best practices that exemplify particular principles of accountable care and use these analyses to synthesize a series of policy recommendations to accelerate progress around accountable care in England. 

The findings were showcased as a working paper in a private roundtable in June 2017 in London that convenes key health care stakeholders across England to increase the local understanding of what accountable care is, showcase how accountable care can help achieve population health goals and system efficiencies, and identify how health providers are adapting and advancing accountable care principles.

Read the final report.

Research Team

Mark B. McClellan, MD, PhD
Director and Robert J. Margolis, M.D., Professor of Business, Medicine and Policy

Andrea Thoumi, MSc, MPP
Research Director, Global Health

Krishna Udayakumar, MD, MBA
Founding Faculty, Duke-Margolis
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

Kushal Kadakia
Undergraduate Research Assistant


This project is funded by the Health Foundation. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Health Foundation.