Rotterdam School of Management, Erasmus University, Burgemeester Oudlaan 50, 3062 PA Rotterdam, the Netherlands; Erasmus School of Health Policy and Management, Erasmus University, Burgemeester Oudlaan 50, 3062 PA Rotterdam, the Netherlands.
Health Policy. 2019 Mar;123(3):300-305. doi: 10.1016/j.healthpol.2018.09.007. Epub 2018 Sep 16.
In January 2015 Zilveren Kruis, the largest health insurer in The Netherlands, engaged in a new three-year, unlimited volume contract with five carefully selected providers of cataract surgery. Zilveren Kruis used a novel method, designed to identify the top expert providers in a certain discipline. This procedure for provider selection uses the principles of Best Value Procurement (BVP), and puts the provider in charge of defining key performance indicators for health care quality. The procedure empowers the professional and acknowledges that the provider, not the purchaser, is the true expert in defining what is high quality care. This new approach focuses purely on provider selection and is thus complementary to innovations in health care reimbursement, such as value-based hospital purchasing or outcome-based financing. We describe this novel approach to preferred provider selection and show how it makes affordable quality the core topic in negotiations with providers.
2015 年 1 月，荷兰最大的健康保险公司 Zilveren Kruis 与五家精心挑选的白内障手术供应商签订了一项为期三年、不限数量的新合同。Zilveren Kruis 使用了一种新颖的方法，旨在确定特定学科的顶级专家供应商。这种供应商选择程序采用了最佳价值采购（BVP）的原则，并赋予供应商定义医疗质量关键绩效指标的权力。该程序赋予了专业人员权力，并承认供应商是真正的专家，能够定义高质量的医疗服务。这种新方法纯粹专注于供应商选择，因此与医疗保健报销方面的创新是互补的，如基于价值的医院采购或基于结果的融资。我们描述了这种新的首选供应商选择方法，并展示了它如何使可负担的质量成为与供应商谈判的核心主题。
