Cost prize

Cost prize 2018

Invoice period of 120 days

Declaration code total prize description 
15E810 € 1400,-- Pediatric diabetes care, with insulin pump without cgm
15E809 € 2900,-- Pediatric diabetes care, with insulin pump and glucosesensor
15E376 € 1450,-- Pediatric diabetes care, >6x visits, without insulin pump 
15E379 €  975,-- Pediatric diabetes care, 3-6x visits, without insulin pump
15E381 €  975,-- Pediatric diabetes care, 1-2x visits, without insulin pump
15A295 € 840,-- Internist diabetes care 1-2x visits, without insulin pump, with CGM
15A293 € 1020,-- Internist diabetes care 3-4x visits, without insuline pump, with CGM
15A294 € 1200,-- Internist diabetes care >4 visits, without insulin pump, with CGM
15A297 € 1340,- Internist diabetes care 1-2x visits, with insulin pump, with CGM
15A296 € 1340,-- Internist diabetes care 3-4x visits, with insulin pump, with CGM
15A291 € 1340,-- Internist diabetes care >4x visits, with insulin pump, with CGM

Cost prize 2017

Invoice period of 120 days

Declaration code total prize Declaration
15E810 € 1400,-- Diabetes care, with insulin pump without cgm
15E809 € 2900,-- Diabetes care, with insulin pump and CGM
15E376 € 1450,-- Diabetes care, >6x visits,  without insulin pump
15E379 €  975,-- Diabeteszorg, 3-6x visits, without insulin pump
15E381 €  975,-- Diabeteszorg, 1-2x visits, without insulin pump

 

Cost prize diabetes care 2016

Per invoice period of 120 days

Declaration code total prize description
15E810 € 1400,-- Diabetes care, with insulin pump without cgm
15E809 € 2900,-- Diabetes care, with insulin pump and CGM
15E376 € 1450,-- Diabetes care, >6x visit, without insulin pump
15E379 €  975,-- Diabetes care, 3-6x visit, without insulin pump
15E381 €  975,-- Diabetes care, 1-2x visit, without insulin pump

Cost Prize diabetes care 2015

In 2015 the invoice period for our diabetes care has been changed to 90 or 120 days per invoice instead of 90 or 365 days.  Below you will find the cost prize for 120 days.

Dutch declaration code Total prize Description
15E378 € 1400,-- Diabetes care, with insuline pump, without cgm
15E375 € 2900,-- Diabetes care with insulin pump and glucose sensor
15E376 € 1450,-- Diabetes care, >6x visit, without insulin pump
15E379 €  975,-- Diabetes care, 3-6 visits, without insulin pump
15E381 €  975,-- Diabetes care, 1-2 visits, without insulin pump

Cost prize 2014

Performance code declaration code total prize cost care provider fee definition
991516037 15E378 € 3606,04 € 2619,40 € 986,64 Diabetes care with insuline pump, without cgm
991516026 15E375 € 8032,21 € 6967,00 € 1060,64 Diabetes care with insulin pump and glucose sensor
991516034 15E376 € 2789,15 € 2097,49 € 691,66 Diabetes care, >6x visit, without insulin pump
991516047 15E379 € 2214,27 € 1794,34 € 419,93 Diabetes care, 3-6 visits, without insulin pump
991516053 15E381 € 1326,35 € 1178,14 € 148,21 Diabetes care, 1-2 visits, without insulin pump
 

Cost prize 2013

Performance code declaration code total prize cost care provider fee definition
991516037 15E378 € 4660,94 € 3708,19 € 952,80 Diabetes care with insuline pump, without cgm
991516026 15E375 € 9592,34 € 8568,13 € 1024,77 Diabetes care with insulin pump and glucose senso
991516034 15E376 € 3532,10 € 2863,34 € 668,57 Diabetes care, >6x visit, without insulin pump
991516047 15E379 € 2866,35 € 2460,44 € 405,92 Diabetes care, 3-6 visits, without insulin pump
991516053 15E381 € 1712,79 € 1569,53 € 143,26 Diabetes care, 1-2 visits, without insulin pump

The fees have been set by the NZa and are no higher for third-line care than for second-line. The prizes of diabetes care are based on the special care that Diabeter provides and are subject to yearly negotiation with the health care insurers. As an independent caregiver Diabeter has a special position: care for children and young adults with a national function and therefore a third-line task such as fits an academic hospital. In the past this third-line task was performed by the Sophia Kinderziekenhuis. Diabeter chooses for special care aimed at a higher quality and good results. The better the results the better the diabetes prognosis for a child. By using a completely electronic file, Diabeter is able to give a complete overview of care results and quality at any moment.

The figures are based on an average cost prize per patient, including all costs such as special intensification treatments (instruction and guidance in using the insulin pump, diagnostic 72-hour glucose measurements) with or without day nurse-care, 24 hour availability (for patient and parents) of a medical specialist, continuous monitoring of results, quality of care, laboratory tests and the use of the latest forms of treatment. This includes the implementation of the use of the glucose sensor (provided this falls within the agreements with the health care insurer considering the cost-volume and use in accordance with the CVZ/NDF protocol).

Our results

Some figures about the care we provide.

Description number at 31-12-2014
Total op patients 1543
Diagnosed (primary) at Diabeter 27%
Secondary referral to Diabeter 73%
Type 1 diabetes 1438
Type 2 diabetes 8
Monogenetic diabetes (MODY) 45
Cystic fibrosis related diabetes (CFRD)Patients with pen therapy (MDI) 42
Patients with pen therapy (MDI) 634
Patients with insulin pump (CSII) 876
Pump treatment supported by glucose sensor (SAP) 127
Patients with HbA1c below 58 mmol/ml (7,5%)  
* 0 - 6 years 58%
* 6 - 12 years 69%
* 12 - 18 years 46%
* Older than 18 year 57%
Patients with HbA1c over 86 mmol/mol (10%)  
* 0 - 6 years 0%
* 6 - 12 years 1%
* 12 - 18 years 6%
* Older than 18 years 5%
Admission to hospital average: 3%
* 0 - 6 years 0%
* 6 - 12 years 3%
* 12 - 18 years 5%
* older than 18 years 1%