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Cost assessment and price setting of inpatient care in the Netherlands. The DBC case-mix system

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Abstract

In February 2005, a case-mix system based on ‘diagnosis treatment combinations’ (DBCs) was introduced in the Netherlands for the registration and reimbursement of hospital and medical specialist care. This paper describes the characteristics of the DBC system and how it is used for the reimbursement of hospitals. Prices for reimbursement are either based on fixed tariffs (‘list A’) or negotiated between health insurers and hospitals (‘list B’) and are partly based on information about unit costs of health care services. Because the DBC system is still under development we will describe the current situation (March 2006), but also focus on the most likely future developments.

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References

  1. Stolk EA, Rutten FFH (2005) The “health benefit basket” in the Netherlands. Eur J Health Econ 6:S53–S57

    Article  Google Scholar 

  2. Stolk EA, Rutten FFH (2005) The health basket in the Netherlands. A contribution to Work Package II of the EU funded research project “HealthBASKET”: Description of benefits, entitlements, actors and decision making processes in the Dutch health care sector institute for Health Policy and Management, http://www.imta.nl/, (Rotterdam)

  3. Schut FT, Hassink WH (2002) Managed competition and consumer price sensitivity in social health insurance. J Health Econ 21:1009–1029

    Article  Google Scholar 

  4. Ministry of Health Welfare and Sports (2004) Health insurance in The Netherlands. Status as of 1 January 2004, in: International Publication Series Health, Welfare and Sports. The Hague

  5. Sociaal Cultureel Planbureau (2001) Towards a sound system of medical insurance. The Hague

  6. den Exter A, Hermans H, Dosljak M, Busse R (2004) Health care systems in transition—Netherlands. WHO Regional Office for Europe on behalf of European Observatory on Health Systems and Policies, Copenhagen, http://www.euro.who.int/observatory

  7. DBC-onderhoud. Website of the organisation of DBC maintenance, http://www.dbconderhoud.nl/

  8. van Beek L, Goossen WT, van der Kloot WA (2005) Linking nursing care to medical diagnoses: heterogeneity of patient groups. Int J Med Inform 74:926–936

    Article  Google Scholar 

  9. DBC-onderhoud. Aanpassingen DBC Systeem 2006. Specificaties en toelichting bij de registratie, validatie en declaratie. DBC-onderhoud (Utrecht Januari 2006)

  10. Steinbusch P, Oostenbrink JB, Zuurbier JJ, Schaepkens FFJM (2005) The DBC- or DRG-creep: the vulnerability of the US, Australian and Dutch casemix system to upcoding, Submitted

  11. Zuurbier JJ, De Groot M, Spanjers R. Casemix management: werken met Diagnose Behandeling Combinaties, www.werkenmetDBCs.nl

  12. Folpmers M, de Bruijn J (2004) Honorering in de Zorg, Overgang naar de nieuwe landelijke DBC-systematiek. MCA Tijdschrift voor Organisaties in Control 6:18–25

    Google Scholar 

  13. College Tarieven Gezondheidszorg. CTG/ZAio adviseert uurtarief medisch specialisten van eur 140 College Tarieven Gezondheidszorg, http://www.ctg-zaio.nl, (Utrecht September 2004)

  14. Schaepkens FFJM (2002) Ziekenhuisbekostiging in Nederland-van FB naar DBC. MCA Tijdschrift voor Organisaties in Control 6:13–25

    Google Scholar 

  15. College Tarieven Gezondheidszorg/Zorgautoriteit in oprichting. Hoe komen budgetten en tarieven tot stand (Utrecht April 2006)

  16. College Tarieven Gezondheidszorg/Zorgautoriteit in oprichting. Oriënterende monitor Ziekenhuiszorg. Analyse van de onderhandelingen over het B-segment in 2005 (Utrecht 12 September 2005)

  17. Ministerie van Volksgezondheid Welzijn en Sport (2005) Transparante en integrale tarieven in de gezondheidszorg. Bijlage bij brief van de Minister van VWS aan de Tweede Kamer d.d. 08-03-2005 Ministerie van VWS, http://www.ctg-zaio.nl, (Den Haag, March)

  18. Scheerderm RLJM (2005) Integrale tarieven en kapitaallasten. Zorg & Financiering 4:11–19

    Google Scholar 

  19. Zorgverzekeraars Nederland. DBC-inkoopgids 2005. Segment B. Zorgverzekeraars onderhandelen over zorg (Zeist, November 2004)

  20. Zuurbier JJ (2004) Model Kostprijzen. Versie 17 DBCzorg, http://www.dbconderhoud.nl/, (Utrecht December)

  21. Horngren CT (1982) Cost accounting. Prentice-Hall, Englewoord Cliffs

    Google Scholar 

  22. Finkler SA, Ward DM (1999) Cost accounting for health care organizations. Aspen, Gaithersburg

    Google Scholar 

  23. Raad voor de Volksgezondheid en Zorg (2003) Marktwerking in de medisch specialistische zorg. Zoetermeer

  24. TNS and NIPO (2006) Kwart Nederlanders inmiddels geswitcht (Amsterdam, April)

  25. KPMG (2004) Tweede audit productstructuur en kostprijzen KPMG (Amstelveen, September)

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Authors and Affiliations

  1. Institute for Health Policy and Management, Erasmus MC, P.O. Box 1738, 3000 DR, Rotterdam, Netherlands

    J. B. Oostenbrink & F. F. H. Rutten

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  1. J. B. Oostenbrink
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  2. F. F. H. Rutten
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Correspondence to J. B. Oostenbrink.

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Oostenbrink, J.B., Rutten, F.F.H. Cost assessment and price setting of inpatient care in the Netherlands. The DBC case-mix system. Health Care Manage Sci 9, 287–294 (2006). https://doi.org/10.1007/s10729-006-9096-y

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  • DOI: https://doi.org/10.1007/s10729-006-9096-y

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