Implications of Global Experiences with Accountable Care

This project examines the implications of global experiences with accountable care for the United States' healthcare system with the aim of accelerating uptake of successful experiences with accountable care and other innovations in the US by promoting the exchange of best practices and knowledge. Based on prior work supported by the Commonwealth Fund, the Duke-Margolis team is identifying practical lessons that can be adopted by a wide range of policy makers and payers in the US to accelerate health care reform domestically. Recently, the team was awarded a follow-on project to accelerate the uptake of successful policy, payment, and delivery innovations from abroad and identify US healthcare systems and/or communities to implement major components of or full integrated delivery and payment reforms.

Since 2016, we have worked with an advisory board comprised of health policy, payment and provider leaders in the US to expand the ‘accountable care framework’ to include internal (organizational capabilities) and external (policy context) factors that matter with policymakers begin to implement reforms that move toward value-based approaches. We have systematically applied this framework to develop in-depth case studies from diverse economic, geographic and health policy settings.

The project case studies and preliminary working paper on lessons learned, released January 30, 2017 at a public event, “Translating International Models of Care for High-Need, High-Cost Populations in the United States” are linked below:





Previous Case Studies

Spain:  Reinventing Chronic Care Management for the Elderly (Ribera Salud Hospital System)

India:  Enhancing Care Management for Diabetes Patients in Rural Communities (SugaVazhvu Healthcare)

Mexico:  Preventing Chronic Disease Through Innovative Primary Care Models (Casalud)

Research Team

Mark McClellan, MD, PhD
Director, Duke-Margolis

Andrea Thoumi, MSc, MPP
Managing Associate

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
Senior Research Assistant

Kushal Kadakia
Undergraduate Research Assistant

Advisory Group

Jeffrey Brenner, Medical Director, Urban Health Institute and Executive Director, Camden Coalition

William Conway, CEO, Henry Ford Medical Group and Executive Vice President, Henry Ford Health System

Molly J. Coye, Social Entrepreneur in Residence, Network for Excellence in Health Innovation

Victor J. Dzau, President, National Academy of Medicine and Vice Chair, National Research Council

Palmer “Pal” Evans, Executive-in-Residence, Management Innovations in Health Care, Eller College of Management, the University of Arizona

Robert Galvin, Chief Executive Officer, Equity Healthcare

Don Goldmann, Chief Medical and Scientific Officer, Institute for Healthcare Improvement 

Ann Lewis, Chief Executive Officer, CareSouth Carolina

David Morales, Executive Vice President and Chief Strategy Officer, Steward Health Care System

Stephen Ondra, Senior Vice President and Enterprise Chief Medical Officer, Health Care Service Corporation

Bela Patel, Assistant Dean of Healthcare Quality and Division Director for Critical Care Medicine, University of Texas Health Science Center in Houston

Jose Peña, CEO and Chief Medical Director, Rio Grande Valley Accountable Care Organization

Jonathan B. Perlin, President, Clinical Services and Chief Medical Officer, Hospital Corporation of America

Hoangmai Pham, Chief Innovation Officer and Acting Director of the Policy and Programs Group, Center for Medicare & Medicaid Innovation

David B. Pryor, Executive Vice President and Chief Clinical Officer, Ascension

Steven M. Safyer, President, Chief Executive Officer, Montefiore Medicine

Lewis G. Sandy, Senior Vice President of Clinical Advancement, UnitedHealth Group

Ross Wilson, Senior Vice President of Quality, Corporate Chief Medical Officer, and a Corporate Officer, NYC Health + Hospitals 


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