Abstract
The funding structure is highly complex. The Netherlands are evolving toward a system of managed competition. All Dutch citizens aged 18 years and older are obligated to obtain healthcare insurance. Healthcare insurance organizations (there are 4–5 of them, resulting from large-scale mergers) are required to accept any citizen as an insuree. The entitlements are laid down legally. Healthcare insurance organizations are risk bearing and mutually competitive. Yet, only part of the costs of healthcare is funded in this way. A large part is through taxes and premiums for long-term care, and another part is covered from private contributions (co-payments).
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van der Wilt, G.J., Rovers, M., Oortwijn, W., Grutters, J. (2016). Hospital-Based HTA at Radboud University Medical Centre in the Netherlands: Welcome to Reality. In: Sampietro-Colom, L., Martin, J. (eds) Hospital-Based Health Technology Assessment. Adis, Cham. https://doi.org/10.1007/978-3-319-39205-9_5
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