This article describes a project in which a national continuous quality improvement system and a payment scheme were explicitly linked, while introducing an expensive treatment (Spinal Cord Stimulation (SCS)) in the social health insurance benefit package, in The Netherlands. By linking a national CQI system and a payment scheme in a conditional financing policy a steering instrument for future control of the quality of neuromodulation treatment through SCS is created.

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Keywords Continuous quality improvement, Cost-consciousness., Cost-containment, Coverage decision, DTCs, Financing policy, Payment scheme, Quality assurance
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Journal Health Policy
Beersen, N, Redekop, W.K, de Bruijn, J.H.B, Theuvenet, P.J, Berg, M, & Klazinga, N.S. (2005). Quality based social insurance coverage and payment of the application of a high cost medical therapy: The case of spinal cord stimulation for chronic non-oncologic pain in the Netherlands. Health Policy (Vol. 71, pp. 107–115). doi:10.1016/j.healthpol.2004.08.002