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Feasibility of care as a criterion for coverage decision-making in the Netherlands
In August 2025, the Dutch Healthcare Institute (ZIN) published the report called “Assessment Framework for Feasibility of Care”. It explains how ZIN determines and assesses the feasibility of interventions when deciding on coverage within the basic health insurance.
The assessment process by ZIN for an intervention typically concludes with evaluating its feasibility after establishing its effectiveness and value for patients. If an intervention is effective, further considerations include its necessity, cost-effectiveness, and feasibility for integration into basic health insurance. The feasibility criterion focuses on identifying issues that could support or hinder its implementation and sustainability.
The Assessment Framework provides questions and explanations for various aspects where feasibility issues may arise. It is used to assess the feasibility of individual interventions or groups of interventions, encompassing both new and existing covered care. The identified problems help inform the overall assessment, but are not counted or offset against each other.
The list of topics that could impact the feasibility of care includes:
- Budget impact;
- Labor deployment;
- Organization of care;
- Administration;
- Healthcare consumption;
- Legislation and demarcation;
- Justice and equality;
- Ethical issues;
- Ecological sustainability;
- Environmental effects.
Responses to the framework's questions can justify including or excluding the intervention or may result in the requirement of additional conditions, like care agreements, for its implementation.
See more information in Dutch here.
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