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Reimbursement of university hospitals in future health care systems

Karolinska University Hospital is leading a two-year project to develop sustainable reimbursement models that support digital and preventive care in Sweden and beyond.

The project employs a phased, evidence-based approach leveraging international expertise while ensuring close alignment with Swedish healthcare priorities. Beginning with comprehensive analysis of good practices and current systems, the project will progress through model development to implementation planning, with work concentrated initially in the Stockholm region and designed for potential scaling to other regions. 

 

Sweden’s healthcare system is facing critical challenges. As the population ages and chronic diseases become more common, the need for sustainable healthcare solutions is greater than ever. Current reimbursement models often prioritize physical visits and acute care—leaving limited room for digital health services and preventive care.

To meet this need, Karolinska University Hospital is leading a new initiative in collaboration with the World Health Organization (WHO) and The European Observatory of Health. Supported by the European Commission through the Technical Support Instrument (TSI), this two-year project focuses on developing sustainable reimbursement models for digital healthcare and preventive health services in Sweden.

The project will map current healthcare financing structures, identify barriers to scaling digital health solutions, and explore new approaches that support patient-centered care, remote services, and hospital@home programs.

By working with stakeholders across regional and national levels, the project aims to strengthen Sweden’s healthcare system and serve as a model for other countries looking to advance digital transformation in healthcare.

Strategic Goal: Develop improved approaches to healthcare financing that better support digital and preventive services through innovative, sustainable business model

Focus Areas: 

  • Identify best practices in reimbursement models for prevention and digital care
  • Develop sustainable financial frameworks for university hospitals and care providers
  • Map digital transformation opportunities in priority care pathways
  • Design implementation pathways beginning with Stockholm region 

 

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