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Background In 2010, a bundled payment system for diabetes care, COPD care and vascular risk management was introduced nationwide in The Netherlands. In the bundled payment system, care for thesepatients is organised by a care group that provides general and more specialised care for the specific disease, and that negotiates a lump sum for each patient with the health insurer. Care groups can either provide care themselves or …

Integrated care: achieving better coordination of care for the chronically ill: lessons from The Netherlands bundled-payment initiative