000			01734nam a22001577a 4500
999			_c515064 _d515064
008			210109b ||||| |||| 00| 0 eng d
100			_aErp, J.V, Wallenburng, I. and Bal, R. _923599
245			_aPerformance regulation in a networked healthcare system: From cosmetic to institutionalized compliance
260			_aPublic Administration
300			_a98(1), 2020: p.46-61
520			_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
650			_aPublic regulator, cost management _923600
773			_aPublic Administration
906			_aHEALTHCARE SYSTEMS - NETHERLANDS
942			_cAR