The majority of Dutch municipalities do not know how money for home care is actually spent. Due to a lack of supervision, healthcare companies have easily been able to abuse decentralization, conclude Pointer , Reporter Radio and Follow the Money .
Little attention was paid to supervision in transferring care tasks from central government to municipalities in 2015, according to the three media, who carried out a joint investigation. Only a third of the 355 municipalities have a supervisor who checks whether uses of home care money are lawful.
While an average healthcare company should make a profit of no more than three percent, in 2018 there were 85 large healthcare companies that made a profit of more than 10 percent for at least two years in a row.
Of those 85 companies, 39 received money from the Social Support Act (Wmo), from which certain forms of home care are reimbursed. In 2018, a total of 37.9 million euros was transferred from municipalities to health care companies that made a remarkable profit.
"We have had quite a few open locks. That has cost a lot of money: that did not go to care, but especially to care providers who became very wealthy," says Professor of Administrative Law Menno Fenger to Pointer .
Fenger calls decentralization "underestimated and extremely complex".