Dutch insurers like Menzis are pushing hard for the implementation of patient monitoring systems, threatening 5% tariff cuts if targets aren’t met. This is after a 10% cut - equal to €600 million - to the country’s psychiatry budget this year, potentially resulting in the loss of 9,000 jobs in the sector and reduced capacity to treat patients, according to the GGZ, which represents the providers in this entirely private market segment. The insurers are pushing for payment by results.