Dietary advice healthcare purchasing

Dietary advice forms part of the healthcare covered under the public healthcare insurance (the Health Insurance Act). In 2013, this healthcare is reimbursed for a maximum of three treatment hours. It mainly concerns tailor-made dietary advice in connection with a disorder such as diabetes.

 

The healthcare reimbursed by HollandZorg is provided by dieticians with their own practice and dieticians affiliated with a homecare agency, nursing home or a disability care centre.  Treatment may be given in the dietician's practice or at home, if this is necessary from a medical point of view. In addition to the time for personal contact with you, the treatment also comprises the time needed by the dietician to prepare a diet plan for instance.

 

The content of the healthcare is documented in the policy rule, 'healthcare descriptions for dietary advice' of the Dutch Healthcare Authority.

1. Vision on healthcare

1.1 Why do we enter into contracts?

We enter into contracts with healthcare provides so as to guarantee they meet the basic quality requirements and ensure the healthcare they provide is efficient. This is provided for in the contract. For the care providers, a contract also offers favourable conditions regarding payment.

1.2 Points to note when purchasing

We distinguish a number of points to note when purchasing dietary advice:
 

Quality

When we conclude a contract with a dietician, our first requirement is that the dietician holds a BIG registration and is entered in the Paramedics Quality Register.
 

In addition, the dietician must prove he/she works in accordance with the most recent guidelines and protocols of the professional association. This makes it possible for you to receive the most up-to-date and suitable healthcare. The following is also very important to us:

  • an adequate electronic patient dossier;
  • consultation with the person who referred you;
  • regular customer satisfaction surveys;
  • focus on the customer.

We also think privacy, continued training, observer agreements and a good practice structure are important for quality healthcare.
 

The occupational group for dieticians is currently trying to make the quality of dieticians transparent in a more objective manner. To that end it is developing 'quality indicators'. As soon as these indicators are available, we and the dieticians will assess if and how these indicators may affect our insured.

 

Accessibility

Until recently, every dietician was available only through referrals. In the course of 2011, it became possible to visit a dietician directly if he/she has received specific, appropriate training (Direct Access). The dietician subsequently assesses if he/she can help you further. By contracting a sufficient number of practices, there will usually be a practice available in your immediate vicinity and waiting times will not be too long.

 

In terms of physical accessibility, we apply the structural requirements set by the occupational group.

 

Efficiency

As most other insurers, we are also faced with rising costs for healthcare. When costs rise, it will affect the extent of the premium you pay. That is why our policy is not only aimed at safeguarding quality, but also at acting cost-effectively.

 

We feel it is important to exchange ideas with the contracted dieticians about the most effective treatment methods, the treatment objectives and the corresponding treatment period required.

2. How is this choice of freedom organised for the insured?

You can choose your care provider. In principle, HollandZorg only concludes contracts with all dieticians who meet the basic quality requirements. This means there will always be a dietician available near you.

 

In addition to our contracted dieticians, you may come across non-contracted healthcare. They are practices that are unable to meet our basic quality requirements, or who choose not to conclude a contract with HollandZorg.

 

HollandZorg applies maximum reimbursements for dietary advice provided by non-contracted practices. We therefore always advise you to ask your care provider in advance if he has a contract with HollandZorg. You can also view this via our Care Finder.

 

As soon as you have found a care provider, it is wise to make certain arrangements about your treatment with this care provider:  what are the objectives? How will they be achieved?

3. Special/innovative agreements

More and more attention is paid to improving dietary and exercise habits. We all know by now that eating a healthy diet and taking exercise are important to ward off illnesses or to prevent an illness from getting worse. Within that context physiotherapists and dieticians see an increase in demand for their assistance.

 

We encourage dieticians to collaborate more with other disciplines and to introduce their expertise to such collaboration.

4. More information

We are happy to help you further by giving you information about care providers. If you have any questions or issues, please contact us. You can call HollandZorg on working days on +31 (0)570 687 123 or send an e-mail.