Modelling value-based inter-organizational controls in healthcare regulations

Abstract

Products and services are increasingly offered by value webs, rather than by a single enterprise. Typically, value webs need inter-organizational controls to prevent fraudulent behaviour of actors. To design and analyze controls, we developed the economic value-based methodology e3-control, which so far has been applied mainly in commercial environments, which are regulated by contractual arrangements. In this paper, we use e3control in a highly regulated environment, which contains public-private partnerships, namely the healthcare sector in The Netherlands. Lessons learned include that the notion of economic reciprocity - as present in a commercial setting - is not always apparent in highly regulated environments; and that a highly regulated environment requires artefacts like evidence objects, which can be dealt with as if they were value objects.