Canada case study policy brief

Overview

The Integrated Comprehensive Care (ICC) 2.0 programme in Ontario, Canada, uses bundled episode-based payments for patients with chronic obstructive pulmonary disease (COPD) or congestive heart failure (CHF). First implemented in a single hospital, the programme was expanded in 2015 to include nine acute care hospitals, representing about 10% of hospital volume in Ontario. Between October 2015 and March 2018, 3010 patients voluntarily enrolled in ICC 2.0, representing 44% of all eligible patients admitted to these hospitals for COPD and CHF.