The Doorbraakmiddelen, explained: the Netherlands' €800 million fund for healthcare and social care innovation

A guide to the €800 million AZWA Doorbraakmiddelen: what you can get funded for, why the deadline is earlier than you think, and what to do to get started.

The Doorbraakmiddelen, explained: the Netherlands' €800 million fund for healthcare and social care innovation

A guide to the €800 million AZWA Doorbraakmiddelen: what you can get funded for, why the deadline is earlier than you think, and what to do to get started.

Doorbraakmiddelen - €800M

€600M

Funding through healthcare insurers

€200M

Funding through municipalities and the social domain

Up to €800 million is available to scale proven care innovations in the Netherlands between 2027 and 2029, split into two separate pots.

€600 million goes through health insurers, for five specific AI and digital care applications: voice-driven reporting, digital triage, capacity planning, mentaal schakelpunt, and tele and home monitoring, in general practice, hospitals, elderly and home care, and mental health care. €200 million goes through municipalities, to scale proven social domain approaches like fall prevention and mental health support points.

The application deadline for the €600 million route is 15 January 2027. To apply, you already need a chosen technology partner and a credible plan in place. The real decision window is October and November 2026. That's now.

Key dates

The €600 million healthcare route

Date

What happens

30 March 2026

Government agrees to invest up to €800m total, €600m via health insurers.

October to November 2026

The decision window: pick a supplier, line up a reference.

1 December 2026

Application portal opens.

15 January 2027

Application deadline. One shared window, not first come, first served.

January to February 2027

Health insurers assess every application.

2027 to 2029

Funding paid out in stages as organisations scale.

Applying for the €600 million healthcare route

The government has published five ready-to-use model plans - pre-packaged applications for proven solutions - so you don't have to build a case from scratch.

To apply, you need a named technology partner and a reference organisation that has scaled a comparable solution. By the time the portal opens on 1 December, the vendor decision needs to already be made.

Health insurers, not the ministry, assess every application. And organisations below a minimum scale – 200 clinicians for hospitals, 100 for elderly and home care and mental health organisations – need to team up with others: through a region, a coalition of at least two providers, or, for general practice, a regional organisation (RHO). Pilot-only proposals get turned down outright.

How the financing works
What you can get funded for

The €600 million healthcare route

Model plan

Who it’s for

What it does

Voice-driven reporting

Hospitals, elderly and home care, mental health care, general practice

Ambient listening drafts clinical notes from a consultation automatically

Digital triage

General practice, for now

Routes a patient’s request to the right level of care

Capacity planning

Hospitals, elderly and home care

Supports planning and allocation of scarce capacity

Mentaal schakelpunt

General practice, mental health care

A shared referral point that routes people faster to the right level of support

Tele and home monitoring

Hospitals

Six care pathways: COPD, heart failure, diabetes, asthma, hypertension in pregnancy, IBD

The €200 million social domain route

€200 million – €100 million in 2027 and €100 million in 2028 – is set aside for the social domain and channelled through municipalities rather than health insurers. It's aimed at accelerating six specific, already-agreed "basisfunctionaliteiten", shared functions that sit across healthcare, social support and public health:

  • Support points for people with severe mental illness

  • Social referral

  • Fall prevention

  • Adult obesity

  • Childhood obesity

  • Preconception health

There's no model plan template and no single national application portal. Instead, regions build a "werkagenda" (work agenda), informed by a regional scan, coordinated between the ministry, VNG (the association of Dutch municipalities), and Zorgverzekeraars Nederland. If your organisation works in mental health, elderly care, or public health and also touches the social domain, this is worth tracking through your municipality or regional partnership directly, since it doesn't run on the same timeline, portal, or eligibility rules as the €600 million route.

Get guidance on the Doorbraakmiddelen

Tandem will guide your organisation through the application process.

Get guidance on the Doorbraakmiddelen

Tandem will guide your organisation through the application process.

Get guidance on the Doorbraakmiddelen

Tandem will guide your organisation through the application process.

Key things to do before submitting your application

The scheme is unusual in what it will and will not pay for. It funds project management, process redesign, training and integration – never the software itself, not even in year one. Thirty per cent of the healthcare-route budget depends on results, paid pro rata against your own baseline, and pays nothing without a measurement you can defend.

Determine your route: the €600 million healthcare model plans, the €200 million social domain route, or both.

Confirm you meet the clinician threshold (200 for hospitals; 100 for elderly, home and mental health care), or find a coalition partner.

Choose a model plan or basisfunctionaliteit that fits your organisation.

Select a technology partner and supplier.

Appoint internal clinical champions and free up time in their schedules, not just a title.

Plan EHR integration for your chosen solution.

Start measuring your baseline: documentation time, adoption, and patient and staff experience.

Involve your data protection officer in the DPIA and AI Act risk classification.

Draft an implementation plan.

What does the evidence show?

The numbers, from Capio Ramsay Santé in Sweden, commissioned by Tandem Health, conflict disclosed.

375,000+

Notes generated across primary, secondary and hospital care.

A 29% reduction

Documentation time per note fell from 6.69 to 4.72 minutes.

93 seconds

Median review time before saving held at 93 seconds and did not drop with continued use.

Lower administrative stress

Clinicians also reported statistically significant gains in working without administrative stress and in feeling present with patients.

What does the evidence show?

The numbers, from Capio Ramsay Santé in Sweden, commissioned by Tandem Health, conflict disclosed.

375,000+

Notes generated across primary, secondary and hospital care.

A 29% reduction

Documentation time per note fell from 6.69 to 4.72 minutes.

93 seconds

Median review time before saving held at 93 seconds and did not drop with continued use.

Lower administrative stress

Clinicians also reported statistically significant gains in working without administrative stress and in feeling present with patients.

What does the evidence show?

The numbers, from Capio Ramsay Santé in Sweden, commissioned by Tandem Health, conflict disclosed.

375,000+

Notes generated across primary, secondary and hospital care.

A 29% reduction

Documentation time per note fell from 6.69 to 4.72 minutes.

93 seconds

Median review time before saving held at 93 seconds and did not drop with continued use.

Lower administrative stress

Clinicians also reported statistically significant gains in working without administrative stress and in feeling present with patients.

FAQ

Frequently asked questions about the Doorbraakmiddelen.

FAQ

Frequently asked questions about the Doorbraakmiddelen.

FAQ

Frequently asked question about our pricing and offering

What are the doorbraakmiddelen?

An €800 million Dutch government fund to scale proven care and social support innovations between 2027 and 2029. If you work in healthcare or social care in the Netherlands, part of it likely applies to you.

What are the doorbraakmiddelen?

An €800 million Dutch government fund to scale proven care and social support innovations between 2027 and 2029. If you work in healthcare or social care in the Netherlands, part of it likely applies to you.

Which care areas are eligible for doorbraakmiddelen?

Doorbraakmiddelen covers general practice, hospitals, elderly and home care, and mental health care within healthcare, plus the social domain through municipalities. On the healthcare side, funding applies to five specific technology tracks: voice-driven reporting, digital triage, capacity planning, mentaal schakelpunt, and tele and home monitoring. In the social domain, it applies to proven approaches across six areas: support points for people with severe mental illness, social referral, fall prevention, adult obesity, childhood obesity, and preconception health. Elderly care sits at the intersection of both, since it spans clinical care and municipal support.

Which care areas are eligible for doorbraakmiddelen?

Doorbraakmiddelen covers general practice, hospitals, elderly and home care, and mental health care within healthcare, plus the social domain through municipalities. On the healthcare side, funding applies to five specific technology tracks: voice-driven reporting, digital triage, capacity planning, mentaal schakelpunt, and tele and home monitoring. In the social domain, it applies to proven approaches across six areas: support points for people with severe mental illness, social referral, fall prevention, adult obesity, childhood obesity, and preconception health. Elderly care sits at the intersection of both, since it spans clinical care and municipal support.

What can doorbraakmiddelen fund?

Implementation, not software: training, integration and project management. Seventy per cent of the healthcare-route budget pays out on implementation milestones. The remaining thirty per cent depends on proving real results, adoption and time saved, measured against your own baseline, so that measurement needs to start before you apply.

What can doorbraakmiddelen fund?

Implementation, not software: training, integration and project management. Seventy per cent of the healthcare-route budget pays out on implementation milestones. The remaining thirty per cent depends on proving real results, adoption and time saved, measured against your own baseline, so that measurement needs to start before you apply.

When is the doorbraakmiddelen deadline?

The formal deadline is 15 January 2027, but that's not the one that matters. You need a chosen partner and a credible plan in place before the application portal opens in December 2026. The real decision window is October and November 2026, which is now.

When is the doorbraakmiddelen deadline?

The formal deadline is 15 January 2027, but that's not the one that matters. You need a chosen partner and a credible plan in place before the application portal opens in December 2026. The real decision window is October and November 2026, which is now.

Which organisations are eligible for doorbraakmiddelen?

Most healthcare organisations are, either on their own or by joining with others regionally. Hospitals need at least 200 clinicians using the technology to apply independently; elderly, home and mental health care need at least 100. Pilot-only proposals aren't accepted, since this fund is for scaling something proven, not testing something new.

Which organisations are eligible for doorbraakmiddelen?

Most healthcare organisations are, either on their own or by joining with others regionally. Hospitals need at least 200 clinicians using the technology to apply independently; elderly, home and mental health care need at least 100. Pilot-only proposals aren't accepted, since this fund is for scaling something proven, not testing something new.

How can Tandem help with a doorbraakmiddelen application?

Tandem's ambient documentation solution is a direct match for the voice-driven reporting model plan, backed by real-world evidence from an independent European deployment. We can help you build your reference case and get ready for the window that matters. Get in touch with Aron Kuisch, Country Director Tandem Health Netherlands, at aron.kuisch@tandemhealth.ai.

How can Tandem help with a doorbraakmiddelen application?

Tandem's ambient documentation solution is a direct match for the voice-driven reporting model plan, backed by real-world evidence from an independent European deployment. We can help you build your reference case and get ready for the window that matters. Get in touch with Aron Kuisch, Country Director Tandem Health Netherlands, at aron.kuisch@tandemhealth.ai.

Sources

Zorgakkoorden.nl: Doorbraakmiddelen, Elf belangrijkste spelregels, and Bestuurlijk overleg IZA/AZWA besluit doorbraakmiddelen te investeren in AI, digitale zorg en technologie, Ministerie van VWS

Modelplan Spraakgestuurd Rapporteren, Doorbraakmiddelen AZWA, 24 July 2026

Zorgvisie, “Zo kregen zorgverzekeraars toch nog 600 miljoen aan AZWA-geld te verdelen,” 2026

Voorhangbrief prestatie doorbraakmiddelen, Tweede Kamer, 2026Z11179

Sociaal Werk Nederland, AZWA dossier

Sanmark et al., “Impact of an AI medical scribe after 375,000 notes generated across care levels in a European health system,” commissioned by Tandem Health with Capio Ramsay Santé, 8 December 2025. Competing interests disclosed in the original publication.

Lukac PJ, Turner W, Vangala S, et al. Ambient AI Scribes in Clinical Practice – A Randomized Trial. NEJM AI. 2025. DOI: 10.1056/AIoa2501000

“Time to Care, Pan-European Perspective,” survey of 1,000+ clinicians and 5,000+ patients across the UK, France, Germany, Spain and Sweden, commissioned by Tandem Health, 26 November 2025.

Get guidance on the Doorbraakmiddelen

Tandem will guide your organisation through the application process.

Get guidance on the Doorbraakmiddelen

Tandem will guide your organisation through the application process.

Get guidance on the Doorbraakmiddelen

Tandem will guide your organisation through the application process.