1. Healthcare in the Netherlands Fundamental changes C.J. (Kees) in ’t Veld, GP Netherlands College of GPs c.intveld@nhg-nl.org

2. Healthcare in the Netherlands Fundamental changes How the system used to be From January 1st 2006 onwards Observations: chances, threats Looking back on the process

3. Healthcare in the Netherlands Fundamental changes Area 33.883 km² Population 16 million Life expectancy 78 yrs

4. Healthcare in the Netherlands Fundamental changes GPs: 8000 2580 Patients 2350 Fixed list Goalkeeper

5. Healthcare in the Netherlands Fundamental changes Sickfunds (60% population) Fee per capita Orientation specific region Private health care insurance companies (40%) Fee for service Nationwide

6. Healthcare in the Netherlands Fundamental changes Health Insurance System January 1st 2006 Socialised, private system Fixed package Low-income: tax grant High-income: additional premium

7. Healthcare in the Netherlands Fundamental changes Health Insurance System January 1st 2006 Three levels of additional packages

8. Healthcare in the Netherlands Fundamental changes Patients Government Health insurers Professionals

9. Healthcare in the Netherlands Fundamental changes Patients 30% changed Mixed emotions Trust, hope, scepsis

10. Healthcare in the Netherlands Fundamental changes Patients Government Health insurers Professionals

11. Healthcare in the Netherlands Fundamental changes Government The job has been done Patients have choices Quality, transparency

12. Healthcare in the Netherlands Fundamental changes Patients Government Health insurers Professionals

13. Healthcare in the Netherlands Fundamental changes Health insurers Administrative difficulties Cost containment? Value for money?

14. Healthcare in the Netherlands Fundamental changes Patients Government Health insurers Professionals

15. Healthcare in the Netherlands Fundamental changes Professionals Chances Uncertain, insecure, threatened

16. Healthcare in the Netherlands Fundamental changes