Measuring Active Purchasing in Healthcare: Analysing Reallocations of Funds Between Providers to Evaluate Purchasing Systems Performance in the Netherlands.
Niek Waltherus StadhoudersXander KoolmanMarit A C TankeHans MaarsePatrick P T JeurissenPublished in: International journal of health policy and management (2023)
Dutch managed competition and competitive purchaser reforms had no discernible effect on reallocations of funds between providers. This casts doubt on the mechanisms advocated by managed competition and active purchasing to improve allocative efficiency.
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