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Variabiliseringinschrijftarief
Achtergrondsysteem
Klink: sturen op kwaliteit Kwaliteit belonen ,[object Object]
hogere kwaliteit = meer doelmatigheid = lagere kostenIn casu: niveau belonen ,[object Object]
zij die op hoger niveau presteren, krijgen meer
kwaliteit – doelmatigheid - serviceVoorzichtig begin huisartsen ,[object Object]
voor één variabele!
geen bezuiniging!
niet een vrij te besteden inkoopbudget!,[object Object]
KWALITEITofDOELMATIGHEIDofSERVICE WÉLbéter !
Kwaliteit per variabeleverschilt in populatie Kwaliteits-niveauprestatie uitstekend matig
Toch is beloningnietgedifferentieerd Hoogtebeloning praktijk Macro 60 mln.
Filosofie: rechterdeelmeerbelonen Matig niveau prestatie minder belonen …. …. Ten gunste van collega’s met betere prestatie uitstekend matig
Beoogdresultaat uitstekend matig
Bijvoorbeeldzo: (herverDelings-effect)
….. of zo …..
….. of zo …..
….. of zo …..
….. of bijvoorbeeldzo.
Maaraltijd macro-neutraal !
Nota bene Vaststelling van het tarief is niet vooraf mogelijk Reden:het beschikbare geld wordt uitgesmeerdover de huisartsen die aan het vooraf gestelde criterium voldoen. Pas achteraf bekend hoeveel huisartsen dat betreft, en daarom pas achteraf vast te stellenhoe hoog de beloning is.
€uit de basiszorg … terugnaarde basiszorg
Uit de basiszorg …. terug in de basiszorg POH-module M&I-module en verrichtingen Beloningvoorniveaukwaliteit,  doelmatigheidof service dient  ‘binnen de basiszorg’ individueel terugte komen! want: variabiliseringinschrijf(=basis-)tarief Consulten Module Module < 65 65 - 75 > 75 Inschrijftarief ca. 60mln ANW

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Variabilisering inschrijftarief huisartsen