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An assessment of the current state of risk-sharing arrangements and its stakeholder’s perspectives in the Dutch healthcare sector

Bosch, R.C. (2019) An assessment of the current state of risk-sharing arrangements and its stakeholder’s perspectives in the Dutch healthcare sector.

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Abstract:The increasing pressure on the healthcare sector is urging for an innovative solution to keep quality and cost effectiveness in optimum shape. There are a variety of different related concepts that emerged over the last few decades that could possibly add value to solvability of this problem. One of these concepts is called ‘performance-based risk-sharing arrangements’, also abbreviated as PBRSAs. PBRSAs are agreements between a payer and manufacturer (of either pharmaceutical products or medical devices) where the actual price is based on future performance or results. This research will contain a systematic literature review that looks at the current state of affairs and trends concerning such arrangements, and will also contain a qualitative part in which 14 individuals have been interviewed representing four different stakeholders. There has been experimented with PBRSAs since the beginning of this millennium and there still is a great doubt that this is or can become an effective business model. This research has shown that there is willingness among various stakeholders in the Dutch healthcare sector to innovate and to expropriate with PBRSAs, but there are still many obstacles that need to be tackled, in particular, breaking through current financial policy patterns.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:44 medicine, 83 economics, 85 business administration, organizational science
Programme:Business Administration MSc (60644)
Link to this item:http://purl.utwente.nl/essays/77903
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