Tasks of the National Health Care Institute
Zorginstituut Nederland (National Health Care Institute) is an advisory and implementing organisation for two statutory health insurance schemes: the Health Insurance Act (Zorgverzekeringswet, Zvw) and the LongTerm Care Act (Wet Langdurige Zorg, Wlz). All activities undertaken by Zorginstituut Nederland focus on making sure that everyone in the Netherlands receives good care; no more and no less than necessary.
- Advising on and clarifying the contents of the standard health care benefit package
- Assessment of outpatient medicines for the benefit of the Medicine Reimbursement System (GVS)
- Health Care Quality
Taking care of good healthcare
Every person in the Netherlands is entitled to health care offered in the basic care package.
We all contribute to this through our health insurance.
The National Health Care Institute determines and advises on which types of health care are included in the basic package and which are not.
Treatment possibilities and their related costs have increased in recent years, and will continue to increase.
These treatments are also often used for a broader group of patients.
The Care Institute therefore wants to draw more attention to how insured care can be offered. Who receives which care?
Professionals largely determine what type of care to offer for which health issue.
But... is this care necessary and effective for every patient? Is Appro¬priate Care being applied?
To determine this, we need to focus on what takes place in the consultation room, where the doctor and patient together decide on the best treatment.
This requires good collaboration with professionals and patients on the ap¬plication of Appropriate Care.
We encourage health care parties to structure their guidelines and quality standards to provide the individual patient with the proper care.
We do this together with scientific organisations, as well as health care pro¬viders, patient organisations and health insurers.
In other words, we continuously monitor the scope of the basic package.
We also call for greater focus on collaboration to ensure appropriate care.
This enables us to reduce pressure on the boundaries of the package and keep the insured care accessible... of good quality... and affordable, now and in the future.
Taking care of good healthcare – no more and no less than necessary