Netherlands

This chapter provides insight in the potential of integrating care through payment reform in the Netherlands. We begin by briefly outlining the main characteristics of the Dutch health care system, which has been transformed into a system of managed competition in the past decade. We focus on health care, because our case study is situated in this setting. We then describe the implementation of the bundled payment for diabetes care as one main example of stimulating nationwide implementation of integrated diabetes care in the Netherlands. This case study is based on our previous work on integrated care and related issues, which we have described in detail elsewhere (de Bakker et al. 2012; de Bruin et al. 2013; Struijs 2013, 2015a, b; Struijs and Baan 2011; Struijs et al. 2010, 2012a, b, 2015a, b; de Jong-van Til et al. 2013; Lemmens et al. 2015; Mohnen et al. 2015).