Extensive analyzes in the background


This monitor provides an overview of the most important conclusions about contracting in apamonitor  mental health care for 2021.Bea van Esch, mental health policy officer: “In the new design of the monitor, we only present the most important conclusions.

We focus mainly on developments that lead to clients receiving the care they need on time apamonitor  and that suits them. We still do more , but we only include them in the monitor if there are relevant developments.

This year we briefly describe the developments in the contracting process and the impact of apamonitor  the corona crisis. After that, we go into more detail on how appropriate care, waiting times and innovation are included in the contracts.

The development with regard to multi-year contracts and the labor market problems in digital mental health care are also discussed.We conclude with a brief look ahead to the introduction of the care performance model in 2022, and with our conclusions and recommendations.”

It is important that care is of good quality, appropriate and affordable. Appropriate care is  digital  care that is necessary, adds value, improves the client’s quality of life and matches his needs and circumstances. Health insurers and care providers make agreements in contracts that contribute to care providers providing this care to clients. Health insurers purchase this care for their policyholders.

It has been agreed in the Mental Health Outline Agreement (HLA 2019-2022) that parties digital  will make decentralized agreements to enable appropriate care for clients. It has also been agreed that the NZa will produce a report in the form of a monitor every year on developments in contracting. With this we want to help health insurers and care providers to make appropriate agreements.

In previous monitors, we mainly asked about points for improvement for the contracting process and the question of why healthcare providers do or do not contract. In the 2020 monitor, we noted that steps had been taken in the contracting process.

However, there is still room for improvement in a number of areas. For the 2021 monitor, Article we asked less extensively about the views on the contracting process and the reasons why healthcare providers do not conclude a contract.

We did this in the first place because parties have had little time since April 2020 – also  Article  because of the corona crisis – to get started with the recommendations. Another reason is that we wanted to collect more information in 2021 about the content of the agreements in the contracts.

We also concluded in 2020 that the parties in the contracts still make too few agreements about the content of the care (quality, appropriate care, etc.). While insurers and providers can specifically work out the agreements of the Outline Agreement in the contracts.

We therefore asked in 2021 about specific agreements about appropriate care (for Article  example, cross-domain agreements with municipalities and general practitioners and Juiste Zorg Op de Juist Plek (JZOJP) and about cooperation in the region.

We also asked questions about the consequences of the corona crisis for contracts, innovation and accessibility of care.We were also curious whether the introduction of the Care Performance Model in 2022 had an impact on the contracts of 2021.


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