Harvard Business Review

How Bundled Health Care Payments Are Working in the Netherlands

By Jeroen Struijs

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ARTICLE SUMMARY

It seems simple and logical — create a single prospective payment for all services for a patient with a given condition. But how to implement? Both the United States and The Netherlands are experimenting with bundled payments.

Learn how the Dutch model works by adopting an upstream focus — improving primary care to prevent expensive outpatient-specialist care and hospitalizations.