Diederik Schrijvershof is representing a large mental healthcare provider in obtaining break-even funding of acute mental healthcare. Since 2020, acute mental healthcare has been procured by representation in 28 different acute mental healthcare regions. The funding of acute mental healthcare is based on availability. Healthcare providers must therefore make agreements with insurers as to what constitutes appropriate acute mental healthcare, in accordance with the Acute Psychiatry Generic Module (GMAP) in the acute mental healthcare region for which they are responsible. The NZa (Dutch Healthcare Authority) then decides on what basis providers may claim acute mental healthcare from the healthcare insurer. Diederik Schrijvershof is representing a mental healthcare provider that wishes to obtain a break-even decision from the NZa in 2021, following a unilateral budget request. In 2020, Maverick Advocaten successfully represented seven mental healthcare providers in obtaining a break-even decision from the NZa for 2020.
Maverick Advocaten has previously also successfully represented healthcare providers in (preliminary relief) proceedings (and also on appeal) regarding the procurement of youth care, forensic care, SGLVG (Serious Behavioural Problems and Mild Intellectual Disability) care and care under the Long-Term Care Act, among other things. It has also successfully challenged excessive purchasing power of health insurers. More information on the rights of healthcare providers in healthcare contracting and the ways in which their trade associations can support them can be found at www.zorgcontractering.com.
