U.S. providers, payers and policy makers have found that current payment systems and regulations can be significant obstacles to adopting promising models of care reform. As in accountable care reforms in the U.S., policy reforms abroad have sought to align payments with accountability for better person-level outcomes and lower overall costs of care. The Duke-Margolis Center has convened an advisory board to determine whether such experiences from abroad in such areas as improving patient experience, patient and provider engagement, overuse of testing, and care coordination can help accelerate effective health care reforms in the U.S. This project is funded by the Commonwealth Fund. On May 20, 2016, the advisory board met in Washington, D.C. to discuss international case studies that highlight best practices in payment and regulatory reforms and an emerging framework for accountable care.