How LOGEX helps equally distribute fees under independent and contracted medical specialists at Medisch Spectrum Twente 

About the collaboration

Medisch Spectrum Twente (MST) in Enschede is one of the Netherlands’ largest top clinical teaching hospitals. Besides regular patient care, science and education, MST offers special supra-regional care for patients referred from other hospitals.  

We have been supporting medical specialists at MST with the distribution of fees since 2015. We are also helping the hospital to increase its grip on the planning and control cycle.  

 MST is part of the Santeon network, which consists of seven top clinical hospitals. By working closely and learning from each other, we strive to provide the best possible care for the patient.  

The challenge

In some cases, independent medical specialists (freelancers) switched to permanent employment forms because those were more attractive. Medisch Spectrum Twente wanted to equally distribute fees under independent and contracted medical specialists while giving them control over their business operations – the provision of good care and the organisation of their practice was paramount.  

We have a very positive experience with the LOGEX Physician Performance model. It stimulates the delivery of optimal patient care.

Paul Brouwers, Neurologist and chairman VMSD

The solution

All contracted professional groups received an entrepreneurial employment agreement within which the AMS applies as a basis, and they can realise a “plus” based on the LOGEX Physician Performance models and additional quality agreements – up to the same level as freelancers.  

Departments remain responsible for arranging their business operations, such as recruiting new staff.  

Financial Control

Our Financial Control suite enables you to gain mastery over patient volumes, resources and finances for the entire organisation, leading to better financial performance—with the numbers to prove it.

We cover the full spectrum of financial and operational processes, from costing and budgeting to forecasting and contracting. 

chevron_right Show key features
  • Costing
  • Budgeting
  • Forecasting

Our activity-based costing model empowers you to:

Simplify cost calculations

Make cost calculations for healthcare providers that are easy to understand, apply, and optimise.

Optimise resource allocation

Allocate resources and costs to patients, care activities and episodes.

Improve through benchmarking

Benchmark unit costs with national and international peers to identify areas for improvement.

Meet regulatory standards

Deliver information to national regulators automatically and in full compliance with National Cost Collection requirements.

Our activity-based budgeting model makes it possible to:

Build and benchmark budgets

Seamlessly link volumes, resources and finances in one budget.

Anticipate and respond to future demand

Match the deployment of resources and manpower to the future demand for care.

Zero in on areas for improvement

Determine how portfolio choices impact operations, and spot areas for improvement.

Involve physicians and managers in budgeting

Bottom-up budgeting functionality facilitates collaboration with non-financial stakeholders.

Our forecasting model enables you to:

Forecast and monitor volume, revenue and cost

Stay on top of expected vs. realised volumes, revenues and costs on a near real-time basis.

Analyse and factor risk into payer contracts

Automate value-at-risk calculations for all contractual agreements with commissioners.

Leverage machine learning algorithms

Build and maintain reliable, easy-to-access forecasts based on machine learning algorithms.

Produce timely, compliant reports with ease

Deliver periodic financial results that are fully compliant with national regulations.

The impact created with LOGEX Physician Performance

  • The LOGEX Physician Performance Model offers the hospital and the departments a realistic and transparent model for rewarding departments for their efforts
  • On paper, there are still freelancers with a service level agreement and employees with an employment contract, but this approach has greatly reduced these differences in practice. This has improved transparency and cooperation  
  • Little difference is experienced between contracted staff and freelancers, which, in combination with the introduction of a capacity budget, contributes to the intended alignment with the hospital  

Would you like to gain insight into your hospital’s financial performance?