Harvard Business Review

How Bundled Health Care Payments Are Working in the Netherlands

By Jeroen Struijs

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"As U.S. policymakers aim to strengthen the primary-care orientation of payment models, they should consider ‘going Dutch’ — not by splitting the bill, but by bundling it."

The system for paying health care providers is extremely fragmented. In response, both the United States and the Netherlands are now experimenting with bundled-payment models, whereby a single prospective payment is made for all services for a patient with a given condition, even when multiple providers deliver that care. I believe that the ongoing Dutch experience with bundled payments has unique lessons for U.S. policymakers.