Purchasing of healthcare services
A key feature of the Dutch healthcare reforms is that competing health insurers are responsible for the purchasing of healthcare services. Insurers will increasingly be enabled to freely negotiate with providers about price, volume, and performance, with the aim of stimulating providers to improve quality and reduce costs. In this regard the department focuses on important questions, including: which incentives and tools do insurers have to actively fulfill their role as prudent purchaser of care on behalf of their enrollees? To what extent are insurers actually taking up this new role? What obstacles can be identified that hamper insurers from fulfilling their purchasing role, and how can these obstacles be effectively removed? In answering these questions, the department takes into account experiences from other countries, including the United States, The United Kingdom, Germany, and Switzerland.
Frank Eijkenaar (cp)
Wynand van de Ven