How Can a Bundled Payment Model Incentivize the Transition from Single-Disease Management to Person-Centred and Integrated Care for Chronic Diseases in the Netherlands?

Bour, Sterre; Raaijmakers, Lena; Bischoff, Erik; Goossens, Lucas; Mölken, Maureen P. M. H. Rutten-van

doi:10.3390/ijerph20053857

Cited by 6 publications

(3 citation statements)

References 56 publications

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“…The bundled payments model provides a single payment for a bundle of services. This can encourage providers to work together and reduce fragmentation 142,143 . The shared savings model offers financial incentives to providers for lowering costs below a specific threshold, allowing providers to share in the achieved savings 144 .…”

Section: Health System Structure and Functions To Support Ipdmmentioning

confidence: 99%

“…This can encourage providers to work together and reduce fragmentation. 142,143 The shared savings model offers financial incentives to providers for lowering costs below a specific threshold, allowing providers to share in the achieved savings. 144 The pay-for-performance model provides financial incentives to healthcare providers for achieving specific performance targets.…”

Section: Financial Requirementsmentioning

confidence: 99%

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What is meant by ‘integrated personalized diabetes management’: A view into the future and what success should look like

Guldemond

2024

Diabetes Obesity Metabolism

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Integrated personalized diabetes management (IPDM) has emerged as a promising approach to improving outcomes in patients with diabetes mellitus (DM). This care approach emphasizes the integration and coordination of different providers, including physicians, nurses, dietitians, social workers and pharmacists. The goal of IPDM is to provide patients with personalized care that is tailored to their needs. This review addresses the concept of integrated care and the use of technology (including data, software applications and artificial intelligence) as well as managerial, regulatory and financial aspects. The implementation and upscaling of digitally enabled IPDM are discussed, with elaboration of successful practices and related evidence. Finally, recommendations are made. It is concluded that the adoption of digitally enabled IPDM on a global level is inevitable, considering the challenges created by an increasing prevalence of patients with DM and the need for better outcomes and improvement of health system sustainability.

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Section: Health System Structure and Functions To Support Ipdmmentioning

confidence: 99%

Section: Financial Requirementsmentioning

confidence: 99%

What is meant by ‘integrated personalized diabetes management’: A view into the future and what success should look like

Guldemond

2024

Diabetes Obesity Metabolism

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“…have studied a complementary payment model to this PC-IC approach, which is published elsewhere in this journal [60].…”

Section: Comparison To Existing Literature and Interpretationmentioning

confidence: 99%

Development of a Person-Centred Integrated Care Approach for Chronic Disease Management in Dutch Primary Care: A Mixed-Method Study

Raaijmakers¹,

Schermer

Wijnen³

et al. 2023

IJERPH

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To reduce the burden of chronic diseases on society and individuals, European countries implemented chronic Disease Management Programs (DMPs) that focus on the management of a single chronic disease. However, due to the fact that the scientific evidence that DMPs reduce the burden of chronic diseases is not convincing, patients with multimorbidity may receive overlapping or conflicting treatment advice, and a single disease approach may be conflicting with the core competencies of primary care. In addition, in the Netherlands, care is shifting from DMPs to person-centred integrated care (PC-IC) approaches. This paper describes a mixed-method development of a PC-IC approach for the management of patients with one or more chronic diseases in Dutch primary care, executed from March 2019 to July 2020. In Phase 1, we conducted a scoping review and document analysis to identify key elements to construct a conceptual model for delivering PC-IC care. In Phase 2, national experts on Diabetes Mellitus type 2, cardiovascular diseases, and chronic obstructive pulmonary disease and local healthcare providers (HCP) commented on the conceptual model using online qualitative surveys. In Phase 3, patients with chronic conditions commented on the conceptual model in individual interviews, and in Phase 4 the conceptual model was presented to the local primary care cooperatives and finalized after processing their comments. Based on the scientific literature, current practice guidelines, and input from a variety of stakeholders, we developed a holistic, person-centred, integrated approach for the management of patients with (multiple) chronic diseases in primary care. Future evaluation of the PC-IC approach will show if this approach leads to more favourable outcomes and should replace the current single-disease approach in the management of chronic conditions and multimorbidity in Dutch primary care.

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Reimbursing Integrated Care Through Bundled Payments

2024

Handbook of Integrated Care

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How Can a Bundled Payment Model Incentivize the Transition from Single-Disease Management to Person-Centred and Integrated Care for Chronic Diseases in the Netherlands?

Cited by 6 publications

References 56 publications

What is meant by ‘integrated personalized diabetes management’: A view into the future and what success should look like

What is meant by ‘integrated personalized diabetes management’: A view into the future and what success should look like

Development of a Person-Centred Integrated Care Approach for Chronic Disease Management in Dutch Primary Care: A Mixed-Method Study

Reimbursing Integrated Care Through Bundled Payments

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