ArticleInternational journal of environmental research and public health2023
How Can a Bundled Payment Model Incentivize the Transition from Single-Disease Management to Person-Centred and Integrated Care for Chronic Diseases in the Netherlands?
Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 19 citations in OpenAlex.
- The effects of insurance coverage under Shanghai hospital global budget management.BMC health services research · 2026Article
- Outsourced eye care in the Finnish capital region: Switching from fee-for-service to bundled payment model.Acta ophthalmologica · 2026Review
- Characterizing a heterogeneous chronic patient population for redesigning person-centred bundled payment models using risk-mitigating measures.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Patient experiences with person-centred and integrated chronic care, focusing on patients with low socioeconomic status: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Patient experiences with person-centred and integrated chronic care, focusing on patients with low socioeconomic status: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Contracting with sequential care providers.Health economics review · 2024Article
- Escalating costs of innovative medicines: perspective and proposals.Frontiers in public health · 2024Article
- Development of a Person-Centred Integrated Care Approach for Chronic Disease Management in Dutch Primary Care: A Mixed-Method Study.International journal of environmental research and public health · 2023Review
- Policy Versus Practice: Facilitators and Barriers of Chronic Care Integration in Dutch General Practice - a Survey Study.International journal of integrated careArticle
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To stimulate the integration of chronic care across disciplines, the Netherlands has implemented single-disease management programmes (SDMPs) in primary care since 2010; for example, for COPD, type 2 diabetes mellitus, and cardiovascular diseases. These disease-specific chronic care programmes are funded by bundled payments. For chronically ill patients with multimorbidity or with problems in other domains of health, this approach was shown to be less fit for purpose. As a result, we are currently witnessing several initiatives to broaden the scope of these programmes, aiming to provide truly person-centred integrated care (PC-IC). This raises the question if it is possible to design a payment model that would support this transition. We present an alternative payment model that combines a person-centred bundled payment with a shared savings model and pay-for-performance elements. Based on theoretical reasoning and results of previous evaluation studies, we expect the proposed payment model to stimulate integration of person-centred care between primary healthcare providers, secondary healthcare providers, and the social care domain. We also expect it to incentivise cost-conscious provider-behaviour, while safeguarding the quality of care, provided that adequate risk-mitigating actions, such as case-mix adjustment and cost-capping, are taken.
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