Table 3.

Consequences which are generated by the proposed alternative payment model.

Payment Model	Desirable Consequences	Undesirable Consequences
Person-centred bundled payment	A holistic approach Integration of care More flexibility on how to spend the budget Responsibility of the primary care cooperative and therefore coordination of care Reduction of risk selection	Lowering the threshold to include someone in the person-centred bundled payment Reduction of freedom of choice of the patients because certain physicians are contracted, and others are not Reduction of costs by avoiding necessary care
One-sided shared savings	A holistic approach Multidisciplinary collaboration due to mutual responsibility The right care for the right patient at the right place Cost-conscious behaviour Double declaration is unattractive Mitigated risks for the primary care cooperative	Feeling less responsible because the savings partly depend on providers that are not part of the person-centred bundled payment, which makes the coordination difficult Reduction of costs by avoiding necessary care
Pay-for-performance	High quality of care	Focus on the measured quality indicators (gaming)