Between 2015 and 2020 in Slovenia, many incentives were introduced by the main payer to increase access to outpatient health services and limit the fast-increasing number of patients waiting. Incentives oriented towards high productivity did not result in better access or improve the service mix produced. The introduction of incentives always came late in the year, because of the long process of reaching an annual general agreement, limiting their effectiveness. To increase access, the minimum number of first visits per provider needs to be defined; the amount that the provider receives for the first visit (the price) must also be increased, and the monitoring of service mix and the number of patients waiting is recommended.
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