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Healthcare Performance Model
As of 1 January 2022, the entire mental health sector switched to a new billing system: the Healthcare Performance Model (HPM).
The idea is to use simpler rules and clearer invoices in mental health care, with fair payment for the care that’s actually provided. Even though it creates a lot more work for us right now, we see it as a positive step for 2022. It’s much more transparent for clients, slightly reduces the administrative burden for practitioners, and allows us to include new elements in treatment that we find very valuable, but that weren’t covered before.
The Healthcare Performance Model sets out how your treatment should be billed and how the invoice is paid. It doesn’t decide what care you receive or how that care is delivered.
How Does the Healthcare Performance Model Work?
The new model for mental health care is called the Healthcare Performance Model. As the name suggests, its foundation is built on “performances” or services.
- These services are clear and recognisable, reflecting the care that was actually provided.
- The model is transparent: the services are easy to understand and provide an accurate record of the care you received.
- Prices match the care delivered. Factors such as the professional delivering the treatment, the length of each session, and the setting all contribute to determining the cost of the care you received.
- Both you and your practitioner gain quicker insight into costs. You no longer have to wait until the end of a treatment plan, because services are now recorded per day rather than over a longer trajectory. This also means billing can happen much faster.
- The cost of your treatment is determined by the length of your session, the profession of the practitioner you see, and whether it is a diagnostic or treatment session. Sometimes, your practitioner may need to consult with a colleague outside the team. In that case, intercollegial consultation is billed to your insurer.
- The difference between a diagnostic session and a treatment session lies in the consultation and administrative work involved. Diagnostic sessions require more detailed reports, test analyses, letters to your GP, and multiple team discussions. To cover the cost of all these extra tasks, the fee for a diagnostic session is higher than for a treatment session.
- Fees are set nationally by the Dutch Healthcare Authority. We have no influence over these rates.
If you have questions, we recommend contacting your health insurer to understand what this means for you. Your insurer is best placed to explain your specific policy and all the rules related to the new billing system, the HPM.
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