There were many challenges, we could say. I specialize a bit more in the pharmaceutical area, but in general you could say that one of the big challenges after 2006 has been for the different stakeholders to grow into their roles. For instance, insurance companies came from a non-competitive environment, where they had more or less a set population of insured persons. They were not used to purchasing or contracting care. They had to get used to this role in which they had to find ways to contract care efficiently, but also make sure that the quality of care was up to standard and that the insured patients were also happy with the care they received. This has been a long process. Over the past years, if you look at the interaction between prescribers on one hand, and the insurance companies on the other hand, and also the pharma companies, you see that finding the right optimum between costs and care at the same time is something that has taken a long time to evolve. Still you see challenges within the insurance companies, especially when it comes to insuring the best possible care. When you talk about appropriate use, for instance, or when you talk about cancer care, you want to make sure that it's the biggest bang for your buck, as the Americans say. Trying to find that scientific or unbiased way of contracting that, I think, is one of the most important challenges at this point.
On May 2nd, 2017. See this statement in context.