Barriers and Strategies for Inclusion of Value-Based Healthcare in Contract Negotiations in the Netherlands: Study Among Hospital and Insurer Executives.

ABSTRACT:

Background

This paper analyses why, despite its recognized importance, value-based healthcare (VBHC) has not gained more prominence in negotiations between health insurers and hospitals in the Netherlands.

Methods

Data collected by interviews used a standardized questionnaire with closed- and open-ended questions. Respondents included hospital and insurer executives, and experts on VBHC in the Netherlands.

Results

Hospital and insurer executives addressed issues of cost containment, volume management, and care availability. Despite recognising the potential of VBHC to enhance patient outcomes and experiences, reluctance persists due to uncertainties about cost-savings, its complexity, lack of data, and competing priorities. Hospital executives advocated experiments wi

SUBMITTER: Leao DLL 

PROVIDER: S-EPMC12579521 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature