Learning From International Models of Accountable Care for High-Need, High-Cost Patients

Focusing on chronic disease management, the project team will develop five to eight case studies of the reimbursement mechanisms, regulatory changes, and policy modifications that have accompanied successful accountable care reforms undertaken in other high-income countries. The case studies will probe the transferability of these international models, the barriers and facilitators to their adoption, and the business case for U.S. implementation. An advisory group of 10 to 15 policymakers, payers, and delivery system leaders will provide feedback to the Duke team throughout the course of the project. Project findings will help U.S. policymakers, insurers, and health system leaders take advantage of advances made in accountable care that are allowing other countries to improve outcomes and lower costs for patients with complex, costly health conditions.