Improving Care And Lowering Costs: Evidence And Lessons From A Global Analysis Of Accountable Care Reforms

• DOI: 10.1377/hlthaff.2017.0535
• Publication Date: 2017-11-15T10:01:41Z
• Authors: Mark McClellan; Krishna Udayakumar; Andrea Thoumi; Jonathan Gonzalez...; Kushal Kadakia; Natalia Kurek; Mariam Abdulmalik; Ara W. Darzi
• Keywords: Science & Technology; 330; Accountable Care Organizations; POPULATION HEALTH; Health Policy; 1. No poverty; Global Health; DISEASE MANAGEMENT; 3. Good health; 03 medical and health sciences; Health Care Sciences & Services; 1117 Public Health And Health Services; Health Care Reform; Models, Organizational; Health Policy & Services; PAYMENTS; PROGRAM; Humans; 0305 other medical science; Life Sciences & Biomedicine; 1402 Applied Economics; Quality of Health Care

Policy makers and providers are under increasing pressure to find innovative approaches achieving better health outcomes as efficiently possible. Accountable care, which holds accountable for results rather than specific services, is emerging in many countries support such care innovations. However, these reforms challenging complex implement, requiring significant policy delivery changes. Despite global interest, the evidence on how implement successfully remains limited. To improve base increase likelihood of success, we applied a comprehensive framework assessing implementation three promising outside United States. The relates competencies organizations their environments facilitate qualitative comparisons innovations factors that influence success. We present lessons guide future evaluation access quality affordability care.