Physiotherapy healthcare purchasing

Physiotherapy forms part of the healthcare covered under the public healthcare insurance (the Health Insurance Act). The healthcare reimbursed by HollandZorg is provided by independent physiotherapists or by physiotherapists from nursing homes/care homes that offer first-line healthcare. The content of the healthcare is documented in the policy rule, 'healthcare descriptions for physiotherapy' of the Dutch Healthcare Authority. We purchase this healthcare nationally for you and it has to be customer-focused, efficient and accessible.

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 cost-effective. HollandZorg offers a suitable reimbursement for physiotherapy in all its policies; we feel it is important that quality and efficiency take priority. 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 physiotherapy:

 

Quality

When we conclude a contract with a physiotherapist, our first requirement is that the physiotherapist holds a BIG registration and is entered in the Central Quality Register (CKR) of the KNGF (Royal Dutch Society for Physical Therapy).

 

In addition, the physiotherapist 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 (when applicable);
  • regular customer satisfaction surveys;
  • focus on the customer.

Privacy, continued training, observer agreements and a good practice structure also form part of the desired quality.

 

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

 

Accessibility

Until recently, every physiotherapist was (directly) available without referral. By contracting a sufficient number of practices, there will usually be a practice available in your immediate vicinity and waiting times will either be non-existent or not too long. You can usually get an initial appointment within five working days. In the case of an emergency, you can be seen to within 24 hours, after having been referred.

 

In terms of physical accessibility, we apply the structural requirements set by the KNGF. Among other things, this means that larger practices have an exercise room, are wheelchair-friendly and have toilets for the disabled.

 

Efficiency

As most other healthcare insurers, we are also faced with rising costs for physiotherapy. Physiotherapy is an important service within the supplementary insurance policies. When the costs for physiotherapy rise, it will have an immediate effect on premiums. HollandZorg wants to keep the supplementary insurance policies affordable, which is why our policy is aimed at cost effectiveness.

 

We exchange ideas with the contracted physiotherapists about the most effective treatment methods, the treatment objectives and the corresponding treatment period required. This information is anonymised and it may help the care provider when making arrangements about your treatment with you.

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

You can choose a physiotherapy practice. In principle, HollandZorg only concludes contracts with all independent physiotherapists who meet the basic quality requirements. This means there will always be a contracted physiotherapist available near you. These days, you can visit a physiotherapist without a referral.

In addition to our contracted physiotherapists, you may come across non-contracted healthcare. They are physiotherapy 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 physiotherapy 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 remedial therapy see an increase in demand for their assistance.

As physiotherapists offer an expertise that may contribute to preventive healthcare, we have made arrangements with a number of physiotherapy practices about specific exercise programmes.

In addition, we want to apply the expertise of physiotherapists on a broader basis. Within that framework, as an experiment, we are paying sub-reimbursements for alternative forms of exercise.

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.