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Trends in Physical Therapy Insurance and Scope Expansion in The Netherlands

Explore the shifting landscape of physical therapy insurance policies and extended scope practices in The Netherlands. From quality assurance to private insurance challenges, discover the latest trends and initiatives. Learn about the impact on accessibility and cost-effectiveness, and the KNGF's efforts to promote research and lobby for stakeholder support.

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Trends in Physical Therapy Insurance and Scope Expansion in The Netherlands

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  1. IPPA14 – 15 September 2013

  2. Trending Topics in The Netherlands • Quality assurance • Policy in the mandatory public insurance • Private insurance • Extended scope

  3. Quality assurance • KNGF owned registration system • 1-1-15 mandatory participation in quality measurement system • National database Physical Therapy • PROM’s

  4. Mandatory public insurance • PT: 75% private, 25% mandatory public insurance • Claim is limited to > 20 treatments + € 350 own risk; • For specific chronic diseases and post-surgery only • Leads to less accessibility • Core message KNGF: • PT is (cost)effective; • prevents higher costs further up the chain; • Better in- Better out. • We support and promote research on this specific topic • + Lobby, PR and PA to stakeholders and parliament

  5. Private insurance • Economic crisis leads to more and more reluctancy to take this kind of insurance • The KNGF tries to open new markets: healthy at work, healthy ageing etc. • Emphasis on the surplus value and cost-effectivness of Physical therapy • New clients: employers, pension funds, labour unions, unions of employers etc.

  6. Extended scope • Direct access since 2006 • Enormous success: 50% of the patients are self-referred • Next step: extended scope (policy aim) • Question: what is your experience on the topic: • Referring for diagnostic intervention (Rö; MRI,CT) • Referral to medical specialist (consultant): orthopedics, surgery, neurology • Prescribing medication • Administer injections

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