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Learning from the Experience of Accountable Care Organizations in the U.S.

 
In February 2019, the Government of Ontario revealed its plans to reform the Ontario health system. In addition, the province announced its intention to support the development of a number of Ontario Health Teams (OHTs), which would have providers and organizations work together in networks to deliver the full continuum of care to a defined patient population. OHTs at maturity will share many features with what are called ‘accountable-care organizations’ (ACOs) in the U.S. As OHTs develop, they can build on what has gone well with ACOs and improve on what has gone less well. Given the learning potential, we sought to examine the design, development, evolution and effects of U.S. accountable care organizations.
Rapid synthesis: