Our system is based on regulated competition, health insurers are mainly responsible for cost containment. Our healthcare providers are private organisations. Tariffs are negotiated between provider and insurer. As last resort the MoH can intervene with the macro budgetary cap instrument (claw back option, never used). MoH, health insurers and healthcare providers made an agreement about the growth of the healthcare costs between 2023-2026 [Integral Zorg Akkoord].