‘Do not change the distribution key rigorously because of the corona crisis’


Doctors’ collectives in hospitals should not deviate too much from their distribution over previous years, despite the corona crisis. That is the idea behind a guide that the Federation of Medical Specialists (FMS) has drawn up about new allocation keys between departments.

In early July, health insurers came up with definitive commitments on how they will pay hospitals this year, as contract agreements on manufacturing by Covid-19 have become outdated. Based on this financial clarity, medical specialists can once again talk to hospital boards about the payment to doctor’s collectives, such as specialist medical companies (msbs), and within those collectives about an adjusted distribution of income and costs among departments.


The FMS has a guide for this

have it drawn up by the FMS Committee Distribution Model and Standard Times. The document is intended as advice on how MSBs – or other organizational forms of medical specialists – can adjust the previously agreed financial allocation keys within doctors’ collectives.

The guide contains four models for arriving at new advance distribution agreements. The ‘Ultimate Solidarity’ model assumes a distribution based on historical results over one or more previous years. A second option is based on own budgets that already include distributions per department – a system that some MSFs already use. A third model proposes to base the distribution on the number of FTEs. The fourth possibility is a combination of these models.

Different models

The models differ in terms of solidarity, simplicity of application and the extent to which account can be taken of the fact that some specialists have had to commit themselves extra to covid-19 or have to deal with production stagnation that has to be made up again. MSBs particularly find the combination model attractive, followed by the distribution based on historical result, it appears. The guide also suggests the possibility of giving an extra compensation to specialist collectives who have made extra efforts around covid-19.

“They are handles to provide peace and comfort,” said Marcel van der Linde, cardiologist and chairman of the FMS committee who drew up the guide, “so that there is no worry about this and everyone can focus on the work that is to be done.” .


According to him, the aim of the guide is “not to make too much difference in the distribution compared to previous years.” “Go back to previous distributions and link up with the agreements that hospitals have made with health insurers,” says Van der Linde. “Everyone has shown solidarity and not everything that specialists have done is measurable.” He calls on medical specialists to show solidarity about this as well.

The guide is primarily aimed at new distribution agreements for 2020. However, the FMS committee does not exclude that the basic principles will also be necessary for 2021, as catching up with discontinued care ‘will have an impact on next year’, says Van der Linde.

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