Accountable Care Around the World: Lessons and Policy Implications for the U.S.

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The Commonwealth Fund and the global health policy and payment reform team at Duke University’s Margolis Center for Health Policy have analyzed global models of accountable care, comparing them to the US’s accountable care framework.

What they found is that three key principles guide successful programs around the world, including: “leaders recognized opportunities in the environment to support accountable care reforms; public and private payers implemented policies that aligned payments and nonfinancial supports with outcomes; and providers developed organizational competencies that created a culture and capacity for change

Case studies from this research show that successful initiatives are innovating in simple and big ways to increase the quality of care for citizens. The four programs that are featured come from the UK (Better Together, which integrates health and social services for an aging population with chronic conditions), Nepal (Possible which uses CHWs and telehealth to provide free health service), and The Netherlands (Zio, an integrated health network).

Perhaps most closely aligned with Delaware’s DCHI initiatives is a program out of Germany called Gesundes Kinzigtal, which has reduced member costs by 7.4 percent by “leveraging data, improving care quality, engaging patients, and linking provider payment to outcomes.” DCHI is following a similar path in an effort to create a healthier and more engaged Delaware with regard to the state’s healthcare system.

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Topics: DCHI