In 2005 a new financing system was introduced in hospital care based on diagnosis and treatment combinations. There is a distinction between the A and B segments in diagnosis and treatment combinations. Services provided in the A segment have fixed rates, whereas services provided in the B segment have rates resulting from negotiations between health care and health insurance companies. In 2009 the B segment increased from about 20 to over 30 percent of care financed on the basis of the diagnosis and treatment combinations. While curative mental health care was transferred from the exceptional medical expenses act (AWBZ) to the health insurance (Zvw) in 2008, mental health care also introduced a new financing system based on the diagnosis and treatment combinations.
