{"id":"https://openalex.org/W4223601752","doi":"https://doi.org/10.1007/s10198-022-01459-5","title":"Financial risk allocation and provider incentives in hospital\u2013insurer contracts in The Netherlands","display_name":"Financial risk allocation and provider incentives in hospital\u2013insurer contracts in The Netherlands","publication_year":2022,"publication_date":"2022-04-12","ids":{"openalex":"https://openalex.org/W4223601752","doi":"https://doi.org/10.1007/s10198-022-01459-5","pmid":"https://pubmed.ncbi.nlm.nih.gov/35412163","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9002227"},"language":"en","primary_location":{"id":"doi:10.1007/s10198-022-01459-5","doi":"https://doi.org/10.1007/s10198-022-01459-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10198-022-01459-5","pdf_url":"https://link.springer.com/content/pdf/10.1007/s10198-022-01459-5.pdf","source":{"id":"https://openalex.org/S16530434","display_name":"The European Journal of Health Economics","issn_l":"1439-3972","issn":["1439-3972","1439-6637","1618-7598","1618-7601"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Journal of Health Economics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s10198-022-01459-5.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070188287","display_name":"Chandeni S. Gajadien","orcid":"https://orcid.org/0000-0001-9454-7098","observed_orcids":["https://orcid.org/0000-0001-9454-7098"]},"institutions":[{"id":"https://openalex.org/I4210124619","display_name":"Dutch Healthcare Authority","ror":"https://ror.org/02bc7xp68","country_code":"NL","type":"other","lineage":["https://openalex.org/I4210124619"]},{"id":"https://openalex.org/I913958620","display_name":"Erasmus University Rotterdam","ror":"https://ror.org/057w15z03","country_code":"NL","type":"education","lineage":["https://openalex.org/I913958620"]}],"countries":["NL"],"is_corresponding":true,"raw_author_name":"Chandeni S. Gajadien","raw_affiliation_strings":["Dutch Healthcare Authority (Nederlandse Zorgautoriteit; NZa), Utrecht, The Netherlands. cgajadien@nza.nl","Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands. cgajadien@nza.nl","Dutch Healthcare Authority (Nederlandse Zorgautoriteit","NZa), Utrecht, The Netherlands"],"raw_orcid":"https://orcid.org/0000-0001-9454-7098","affiliations":[{"raw_affiliation_string":"Dutch Healthcare Authority (Nederlandse Zorgautoriteit; NZa), Utrecht, The Netherlands. cgajadien@nza.nl","institution_ids":["https://openalex.org/I4210124619"]},{"raw_affiliation_string":"Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands. cgajadien@nza.nl","institution_ids":["https://openalex.org/I913958620"]},{"raw_affiliation_string":"Dutch Healthcare Authority (Nederlandse Zorgautoriteit","institution_ids":["https://openalex.org/I4210124619"]},{"raw_affiliation_string":"NZa), Utrecht, The Netherlands","institution_ids":["https://openalex.org/I4210124619"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085270933","display_name":"Peter Dohmen","orcid":"https://orcid.org/0000-0001-8555-9038","observed_orcids":["https://orcid.org/0000-0001-8555-9038"]},"institutions":[{"id":"https://openalex.org/I4210124619","display_name":"Dutch Healthcare Authority","ror":"https://ror.org/02bc7xp68","country_code":"NL","type":"other","lineage":["https://openalex.org/I4210124619"]},{"id":"https://openalex.org/I913958620","display_name":"Erasmus University Rotterdam","ror":"https://ror.org/057w15z03","country_code":"NL","type":"education","lineage":["https://openalex.org/I913958620"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Peter J. G. Dohmen","raw_affiliation_strings":["Dutch Healthcare Authority (Nederlandse Zorgautoriteit; NZa), Utrecht, The Netherlands","Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands","Rotterdam School of Management, Erasmus University Rotterdam, Rotterdam, The Netherlands","Dutch Healthcare Authority (Nederlandse Zorgautoriteit","NZa), Utrecht, The Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dutch Healthcare Authority (Nederlandse Zorgautoriteit; NZa), Utrecht, The Netherlands","institution_ids":["https://openalex.org/I4210124619"]},{"raw_affiliation_string":"Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands","institution_ids":["https://openalex.org/I913958620"]},{"raw_affiliation_string":"Rotterdam School of Management, Erasmus University Rotterdam, Rotterdam, The Netherlands","institution_ids":["https://openalex.org/I913958620"]},{"raw_affiliation_string":"Dutch Healthcare Authority (Nederlandse Zorgautoriteit","institution_ids":["https://openalex.org/I4210124619"]},{"raw_affiliation_string":"NZa), Utrecht, The Netherlands","institution_ids":["https://openalex.org/I4210124619"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046052146","display_name":"Frank Eijkenaar","orcid":"https://orcid.org/0000-0002-4471-7623","observed_orcids":["https://orcid.org/0000-0002-4471-7623"]},"institutions":[{"id":"https://openalex.org/I913958620","display_name":"Erasmus University Rotterdam","ror":"https://ror.org/057w15z03","country_code":"NL","type":"education","lineage":["https://openalex.org/I913958620"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Frank Eijkenaar","raw_affiliation_strings":["Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands","institution_ids":["https://openalex.org/I913958620"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084516593","display_name":"Erik Schut","orcid":"https://orcid.org/0000-0002-5748-5403","observed_orcids":["https://orcid.org/0000-0002-5748-5403"]},"institutions":[{"id":"https://openalex.org/I913958620","display_name":"Erasmus University Rotterdam","ror":"https://ror.org/057w15z03","country_code":"NL","type":"education","lineage":["https://openalex.org/I913958620"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Frederik T. Schut","raw_affiliation_strings":["Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands","institution_ids":["https://openalex.org/I913958620"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026351674","display_name":"Erik M. van Raaij","orcid":"https://orcid.org/0000-0002-3758-5431","observed_orcids":["https://orcid.org/0000-0002-3758-5431"]},"institutions":[{"id":"https://openalex.org/I913958620","display_name":"Erasmus University Rotterdam","ror":"https://ror.org/057w15z03","country_code":"NL","type":"education","lineage":["https://openalex.org/I913958620"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Erik M. van Raaij","raw_affiliation_strings":["Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands","Rotterdam School of Management, Erasmus University Rotterdam, Rotterdam, The Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands","institution_ids":["https://openalex.org/I913958620"]},{"raw_affiliation_string":"Rotterdam School of Management, Erasmus University Rotterdam, Rotterdam, The Netherlands","institution_ids":["https://openalex.org/I913958620"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003293524","display_name":"Richard Heijink","orcid":"https://orcid.org/0000-0001-9669-1034","observed_orcids":["https://orcid.org/0000-0001-9669-1034"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Richard Heijink","raw_affiliation_strings":["The Council of Public Health & Society (Raad voor Volksgezondheid & Samenleving; RVS), The Hague, The Netherlands","RVS), The Hague, The Netherlands","The Council of Public Health & Society (Raad voor Volksgezondheid & Samenleving"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Council of Public Health & Society (Raad voor Volksgezondheid & Samenleving; RVS), The Hague, The Netherlands","institution_ids":[]},{"raw_affiliation_string":"RVS), The Hague, The Netherlands","institution_ids":[]},{"raw_affiliation_string":"The Council of Public Health & Society (Raad voor Volksgezondheid & Samenleving","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5070188287"],"corresponding_institution_ids":["https://openalex.org/I4210124619","https://openalex.org/I913958620"],"apc_list":{"value":4190,"currency":"USD","value_usd":4190},"apc_paid":{"value":4190,"currency":"USD","value_usd":4190},"fwci":4.0293,"has_fulltext":true,"cited_by_count":31,"citation_normalized_percentile":{"value":0.93885697,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"24","issue":"1","first_page":"125","last_page":"138"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8895999789237976,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8895999789237976,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.10249999910593033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/purchaser-provider-split","display_name":"purchaser-provider split","score":0.847000002861023},{"id":"https://openalex.org/keywords/provider-incentives","display_name":"provider incentives","score":0.8349999785423279},{"id":"https://openalex.org/keywords/alternative-payment-models","display_name":"alternative payment models","score":0.9559999704360962},{"id":"https://openalex.org/keywords/value-based-health-care","display_name":"value-based care","score":0.9950000047683716},{"id":"https://openalex.org/keywords/market-power","display_name":"market power","score":0.8399999737739563},{"id":"https://openalex.org/keywords/dutch-healthcare-system","display_name":"Dutch healthcare system","score":0.6290000081062317}],"concepts":[{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.7205013632774353},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.6748148202896118},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.5332598090171814},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.48115718364715576},{"id":"https://openalex.org/C76073288","wikidata":"https://www.wikidata.org/wiki/Q1337875","display_name":"Financial risk","level":2,"score":0.46686410903930664},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.22512084245681763},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007343","descriptor_name":"Insurance Carriers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009042","descriptor_name":"Motivation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009426","descriptor_name":"Netherlands","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1007/s10198-022-01459-5","doi":"https://doi.org/10.1007/s10198-022-01459-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10198-022-01459-5","pdf_url":"https://link.springer.com/content/pdf/10.1007/s10198-022-01459-5.pdf","source":{"id":"https://openalex.org/S16530434","display_name":"The European Journal of Health Economics","issn_l":"1439-3972","issn":["1439-3972","1439-6637","1618-7598","1618-7601"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Journal of Health Economics","raw_type":"journal-article"},{"id":"pmid:35412163","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35412163","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European journal of health economics : HEPAC : health economics in prevention and care","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9002227","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9002227/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur J Health Econ","raw_type":"Text"},{"id":"pmh:oai:pure.eur.nl:openaire/4e01fbcd-c7bd-4d90-906e-1cb9003f42be","doi":null,"is_oa":true,"landing_page_url":"https://pure.eur.nl/en/publications/4e01fbcd-c7bd-4d90-906e-1cb9003f42be","pdf_url":null,"source":{"id":"https://openalex.org/S4306401266","display_name":"EUR Research Repository (Erasmus University Rotterdam)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I913958620","host_organization_name":"Erasmus University Rotterdam","host_organization_lineage":["https://openalex.org/I913958620"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gajadien, C S, Dohmen, P J G, Eijkenaar, F, Schut, F T, van Raaij, E M & Heijink, R 2023, 'Financial risk allocation and provider incentives in hospital\u2013insurer contracts in The Netherlands', European Journal of Health Economics, vol. 24, no. 1, pp. 125-138. https://doi.org/10.1007/s10198-022-01459-5, https://doi.org/10.1007/s10198-022-01459-5","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:eur:oai:pure.eur.nl:publications/4e01fbcd-c7bd-4d90-906e-1cb9003f42be","doi":null,"is_oa":true,"landing_page_url":"https://pure.eur.nl/en/publications/4e01fbcd-c7bd-4d90-906e-1cb9003f42be","pdf_url":null,"source":{"id":"https://openalex.org/S4306401266","display_name":"EUR Research Repository (Erasmus University Rotterdam)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I913958620","host_organization_name":"Erasmus University Rotterdam","host_organization_lineage":["https://openalex.org/I913958620"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"European Journal of Health Economics, 24(1), 125 - 138. Springer-Verlag","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:RePEc:spr:eujhec:v:24:y:2023:i:1:d:10.1007_s10198-022-01459-5","doi":null,"is_oa":false,"landing_page_url":"http://link.springer.com/10.1007/s10198-022-01459-5","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"}],"best_oa_location":{"id":"doi:10.1007/s10198-022-01459-5","doi":"https://doi.org/10.1007/s10198-022-01459-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10198-022-01459-5","pdf_url":"https://link.springer.com/content/pdf/10.1007/s10198-022-01459-5.pdf","source":{"id":"https://openalex.org/S16530434","display_name":"The European Journal of Health Economics","issn_l":"1439-3972","issn":["1439-3972","1439-6637","1618-7598","1618-7601"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The European Journal of Health Economics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.428600013256073}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4223601752.pdf","grobid_xml":"https://content.openalex.org/works/W4223601752.grobid-xml"},"referenced_works_count":49,"referenced_works":["https://openalex.org/W198117845","https://openalex.org/W1958351725","https://openalex.org/W1965168157","https://openalex.org/W1976979653","https://openalex.org/W1999596330","https://openalex.org/W2013830528","https://openalex.org/W2028750332","https://openalex.org/W2036244503","https://openalex.org/W2055171917","https://openalex.org/W2062806646","https://openalex.org/W2066009577","https://openalex.org/W2073098203","https://openalex.org/W2079957928","https://openalex.org/W2080427347","https://openalex.org/W2082853467","https://openalex.org/W2085134412","https://openalex.org/W2088093398","https://openalex.org/W2091969844","https://openalex.org/W2106103207","https://openalex.org/W2113772619","https://openalex.org/W2114144775","https://openalex.org/W2121983847","https://openalex.org/W2133572411","https://openalex.org/W2140614071","https://openalex.org/W2143978157","https://openalex.org/W2149902237","https://openalex.org/W2157345159","https://openalex.org/W2168955366","https://openalex.org/W2203602098","https://openalex.org/W2290658790","https://openalex.org/W2294326866","https://openalex.org/W2336994817","https://openalex.org/W2413370008","https://openalex.org/W2417159292","https://openalex.org/W2569164523","https://openalex.org/W2842716614","https://openalex.org/W2892078785","https://openalex.org/W2892469917","https://openalex.org/W2892831169","https://openalex.org/W2899540630","https://openalex.org/W2900091485","https://openalex.org/W2957564163","https://openalex.org/W2974733684","https://openalex.org/W3008957809","https://openalex.org/W3022921092","https://openalex.org/W3043846207","https://openalex.org/W3092451391","https://openalex.org/W4232206934","https://openalex.org/W6628806822"],"related_works":["https://openalex.org/W4381619206","https://openalex.org/W1910775571","https://openalex.org/W2279961844","https://openalex.org/W2413444355","https://openalex.org/W7099642891","https://openalex.org/W1773095287","https://openalex.org/W2094467545","https://openalex.org/W2217912676","https://openalex.org/W1547298118","https://openalex.org/W2887592991"],"abstract_inverted_index":{"In":[0,46,134],"healthcare":[1,20],"systems":[2],"with":[3,176],"a":[4,31,62,200],"purchaser-provider":[5],"split,":[6],"contracts":[7,29,74],"are":[8],"an":[9,110],"important":[10],"tool":[11],"to":[12,33,40,97,139,203,208],"define":[13],"the":[14,17,79],"conditions":[15],"for":[16,179],"provision":[18],"of":[19,113,150],"services.":[21],"Financial":[22],"risk":[23,55,100,178],"allocation":[24,56],"can":[25],"be":[26],"used":[27,67,146],"in":[28,61,75,195],"as":[30],"mechanism":[32],"influence":[34],"provider":[35],"behavior":[36],"and":[37,43,59,83,88,118,147,168,188,207],"stimulate":[38],"providers":[39],"provide":[41,50],"efficient":[42],"high-quality":[44],"care.":[45],"this":[47,104,124,160,196],"paper,":[48],"we":[49,91],"new":[51],"insights":[52],"into":[53],"financial":[54,99,177],"between":[57,116],"insurers":[58],"hospitals":[60,94],"changing":[63],"contracting":[64],"environment.":[65],"We":[66],"unique":[68],"nationwide":[69],"data":[70],"from":[71],"901":[72],"hospital-insurer":[73],"The":[76],"Netherlands":[77],"over":[78,101],"years":[80],"2013,":[81],"2016,":[82],"2018.":[84,119],"Based":[85],"on":[86],"descriptive":[87],"regression":[89],"analyses,":[90],"find":[92],"that":[93,123,166],"were":[95,144,172],"exposed":[96],"more":[98,210],"time,":[102],"although":[103],"increase":[105],"was":[106,126],"somewhat":[107],"counteracted":[108],"by":[109,129],"increasing":[111],"use":[112],"risk-mitigating":[114],"measures":[115],"2016":[117],"It":[120],"is":[121],"likely":[122],"trend":[125],"heavily":[127],"influenced":[128],"national":[130,154],"cost":[131],"control":[132],"agreements.":[133],"addition,":[135],"alternative":[136],"payment":[137],"models":[138],"incentivize":[140],"value-based":[141],"health":[142],"care":[143],"rarely":[145],"thus":[148],"seemingly":[149],"lower":[151],"priority,":[152],"despite":[153],"policies":[155],"being":[156],"explicitly":[157],"directed":[158],"at":[159],"goal.":[161],"Finally,":[162],"our":[163],"analysis":[164],"shows":[165],"hospital":[167,187],"insurer":[169,189],"market":[170,192],"power":[171],"both":[173,186],"negatively":[174],"associated":[175],"hospitals.":[180],"This":[181],"effect":[182],"becomes":[183],"stronger":[184],"if":[185],"have":[190],"strong":[191],"power,":[193],"which":[194],"case":[197],"may":[198],"indicate":[199],"greater":[201],"need":[202],"reduce":[204],"(financial)":[205],"uncertainties":[206],"create":[209],"cooperative":[211],"relationships.":[212]},"counts_by_year":[{"year":2026,"cited_by_count":9},{"year":2025,"cited_by_count":8},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2022-04-15T00:00:00"}
