01846nam a22001697a 4500999001900000008004100019100005200060245010700112260002800219300002500247520118700272650004601459773002601505906003801531942000701569952010001576  c515064d515064210109b           ||||| |||| 00| 0 eng d  aErp, J.V,  Wallenburng, I. and  Bal, R. 923599  aPerformance regulation in a networked healthcare system: From cosmetic to institutionalized compliance  aPublic Administration    a98(1), 2020: p.46-61  aThis article studies the role of a public regulator in managing the performance of healthcare professionals. It combines a networked governance perspective with responsive regulation theory to show the mechanisms that have added to significant changes in medical cost management in the Netherlands. In a five‐year period, hospital practices transitioned from cosmetic compliance with performance regulation and strategic upcoding to institutionalized compliance more in line with regulatory goals. The article demonstrates how policy changes transformed incentive structures, introduced new forms of accountability, and added actors to the network with technocratic disciplining tasks. The networked character of performance regulation offered opportunities for a responsive, non‐coercive regulatory strategy that engaged various actors in a regulatory conversation about strategic coding. Responsive regulation can reduce strategic responses to performance regulation and manage the gap between administrative and clinical logics. The case study contributes to our understanding of the effectiveness of responsive, non‐punitive regulation in networked settings. - Reproduced   aPublic regulator,  cost management923600  aPublic Administration  aHEALTHCARE SYSTEMS - NETHERLANDS   cAR  00102ddc40709389097aIIPAbIIPAd2021-01-09h98(1), 2020: p.46-61pAR123837r2021-01-09yAR