Strategic alliances in health care

摘要: As of 2006, the Dutch health care system has transformed significantly with introduction market forces and competition among insurers providers. The term regulated was used to indicate that all actors involved in this competitive are operating under a regulatory framework set out by government protect public goals affordability, accessibility quality care. Despite significant improvements preconditions necessary for model work, full potential increase efficiency improve health care delivery yet be achieved. current is still characterized fragmented uncoordinated delivery, caused way organized financed. Major contributors rise costs lack coordinated misaligned (financial) incentives embedded system. Other factors, such as financial organizational separation between primary secondary Netherlands, impedes collaboration different providers prevents emergence new initiatives could Here, it argued integration financing will greatly Organizations have fully integrated known systems (IDS), they include both (physicians, hospitals, other clinicians, clinics, etc.) an insurance function (benefit plans, arrangements) one roof. They been described network organizations provides or arranges provide continuum services defined population willing be held clinically financially accountable outcomes served. Advantages organization aligned interests providers, payers patients, clinical accountability, ability coordinate across entire spectrum, use information technology, matching resources needs served. In thesis, two options proposed on how move towards IDSs given the Firstly, hospitals forge strategic alliances taking over their contractual obligation provide, reimburse, subscribers. Secondly, groups given responsibility to make sure patients receive adequate Both modalities resemble many the characteristics up IDS, per capita prepayment, payers and increased coordination between primary- such, these approaches hold great potential to while preserving