Diederik Schrijvershof and Jeanne Plettenburg have represented several providers of SGLVG care in their legal action for cost-covering funding of SGLVG care by the NZa (Dutch Healthcare Authority). SGLVG stands for Sterk Gedragsgestoord Licht Verstandelijk Gehandicapt (Serious Behavioural Problems and Mild Intellectual Disability). In 2020, the care for this target group was funded under the Wet langdurige zorg (Long-Term Care Act), in the form of the Extramural Treatment Temporary Subsidy Scheme. As from 2021, the SGLVG care will be funded under the Zorgverzekeringswet (Healthcare Insurance Act), which gave rise to the risk of non-cost-covering rates for this type of care. Diederik Schrijvershof and Jeanne Plettenburg successfully represented SGLVG providers to safeguard adequate funding of SGLVG care in 2021. The NZa carried out a cost survey to arrive at cost-covering healthcare insurance rates for SGLVG care. Following this cost rate survey, the NZa raised the rate for SGLVG care significantly.
Earlier in 2020, Maverick Advocaten successfully represented several forensic care providers in challenging non-cost-covering funding of forensic care. It did so by winning an action brought against the Dienst Justitiële Inrichtingen (Custodial Institutions Agency) in preliminary relief proceedings. The preliminary relief proceedings related to the forensic care open house procurement procedure of the Custodial Institutions Agency and its unilateral imposition of inadequate rates in combination with the introduction of an overall maximum day price system. More information can be found here, here, here and here. In May 2020, Maverick Advocaten successfully brought an action for cost-covering funding on behalf of several acute mental healthcare providers. In September 2020, Maverick Advocaten successfully represented de Nederlandse ggz (the Dutch Mental Healthcare Association) and 19 of its members in preliminary relief proceedings against five care administration offices regarding inadequate long-term healthcare rates for 2021. Maverick Advocaten is also litigating the NZa rates for specialist mental healthcare and forensic care before the Trade and Industry Appeals Tribunal. It had previously successfully represented healthcare providers in appeal proceedings before the Trade and Industry Appeals Tribunal, challenging an NZa rate decision for GP care.
More information can be found at www.zorgcontractering.com.