Abstract
This article presents an analysis of some changes in insurer-provider relations in The Netherlands during the last two decades, with special emphasis upon insurer-hospital relations. The analysis takes an insurer perspective: insurer-provider relations will be analysed from the viewpoint of the health insurers. The argument is that the ongoing changes in insurer-provider relations can be conceptualized as a transition from administrationto strategic management. Attention is paid to some aspects of strategic management for health insurers.

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