In response to pervasive deficits in the quality of care and skyrocketing health-care expenditure the pressure to provide better and more efficient care continues to shape the health-care policy debate. Besides altering payment frameworks and the associated incentives (i.e. pay-for-quality initiatives), policymakers and providers have turned their attention to the way care is delivered. The research unit and the applicant (Prof. Dr. Jeroen Trybou) have experience in studying healthcare organization and finance. In the past years several studies have been performed. With this grand we aim to continue our research effort.