International Journal of Health Policy and Management

International Journal of Health Policy and Management

Beyond the Contract: The Role of Relational and Contractual Governance in Outcome-Based Payment Models

Document Type : Viewpoint

Authors
Maud A. van den Berg 1
Hilco J. van Elten 2
Kees T.B. Ahaus 1
1 Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
2 Department of Accounting, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
10.34172/ijhpm.9433
Keywords
Value-Based Healthcare
Outcome-Based Payment Models
Governance
Trust
Contract

Introduction

 

Governance refers to the mechanisms through which interorganisational relationships are coordinated and controlled. Organisational research traditionally distinguishes two primary forms: contractual governance, which relies on formal agreements, and relational governance, which emphasises trust and relational norms.1 ...(Read more...)

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International Journal of Health Policy and Management
Volume 15, Issue 1
2026
Pages 1-4

  • Received Date 26 August 2025
  • Revised Date 13 January 2026
  • Accepted Date 06 April 2026
  • First Published Date 06 April 2026
  • Published Date 01 December 2026