In 2025, more than 72% of digital health startups operating in the Netherlands hit a wall — not because of their product, but because they couldn’t integrate into the country’s uniquely advanced MedMij-driven health data ecosystem.

At the same time, the Netherlands now ranks among Europe’s top 3 most interoperable healthcare systems, with FHIR adoption accelerating across hospitals, insurers, and citizen-facing PHE platforms.

The winners in 2025 are not the best apps — they are the best integrators.
If you don’t plug into the Dutch interoperability rails, you simply can’t scale.

This blog post gives you the full 2025 Netherlands Interoperability & MedMij Stack, how to use it, and the frameworks founders need to unlock pilots, payer deals, and national distribution.

🧩 The Netherlands Interoperability & MedMij Stack (2025)

A 4-layer system powering patient-controlled health data exchange.

1️⃣ PHE Platforms — Where Citizen Health Access Begins

These platforms are the “front door” of digital care in NL.
They enable citizens to access medical records, share data, and engage with providers — all aligned with MedMij standards.

Key Players (12+)

• Drimpy – Citizen health portal & PHE gateway.

• Quli – Secure digital record & communication PHE.

• MijnGezondheid.net (MGN) – GP & pharmacy-linked PHE.

• Luscii – Remote monitoring + patient-access layer.

• Soulve MediMapp – PHE for digital care pathways.

• Gezond.nl – Public-facing health access platform.

• Patient1 – Care planning + health record access.

• Zodos – Universal PHE & secure messaging.

• Medify – Digital intake & pathway enablement.

• Chipmunk Health – Home-based monitoring PHR.

• Awell Health – Care orchestration + patient access.

• Nuts Platform – Decentralized identity & consent.

Why This Layer Matters

PHE platforms determine:
✔️ How fast you integrate with Dutch providers
✔️ How quickly patients can access and share data
✔️ Whether insurers see real-world outcomes

If your solution can’t connect to PHE workflows, your adoption rate drops by 70%+.

2️⃣ Data Connectors — The Technical Rails Behind MedMij

These are the companies enabling FHIR, HL7, XDS, MedMij, secure messaging, and EHR integrations.

Key Players (12+)

• ChipSoft (HiX) – Largest Dutch EHR, MedMij-ready.

• Enovation Group – XDS, FHIR, secure exchange.

• Founda Health – Integration marketplace for hospitals.

• Topicus Healthcare – GP integrations, MGN, Koppeltaal.

• Nictiz – National standards authority.

• KPN Health – Health-grade secure communication layer.

• Open HealthHub – FHIR data capture for hospitals.

• Epic Netherlands – Extending FHIR APIs to Dutch sites.

• Oracle Health (Cerner) – Interop-friendly EHR.

• Sectra – Imaging & cross-hospital exchange.

• Visma | Dotweb – Clinical workflow & exchange tools.

• Health-RI – National research data infrastructure.

• Signicat (iWelcome) – Identity + consent for MedMij.

Why This Layer Matters

These companies determine:
✔️ How easily your solution integrates with hospitals
✔️ How fast you can deliver ROI for providers
✔️ Whether your pilot expands nationally

Integration friction is the #1 reason Dutch pilots fail to scale.

3️⃣ Leading Hospitals — The Gatekeepers of Scale

Hospitals in the Netherlands are highly digital, heavily FHIR-focused, and deeply integrated with PHE systems.

Key Players (12+)

• UMC Utrecht

• Amsterdam UMC (AMC + VUmc)

• Radboud UMC

• Erasmus MC

• LUMC Leiden

• UMCG Groningen

• Máxima MC

• St. Antonius

• OLVG Amsterdam

• Rijnstate

• Isala Klinieken

• Maasstad Ziekenhuis

• Catharina Ziekenhuis

Why This Layer Matters

Hospitals decide:
✔️ Who gets clinical validation
✔️ Who gets workflow integrations
✔️ Who becomes reimbursable

Hospital partnerships are the bridge between innovation and commercial traction.

4️⃣ Payer Hubs — Where Reimbursement Is Won or Lost

Dutch insurers are active digital buyers and pilot funders.

Insurers (8+)

• Zilveren Kruis

• VGZ

• CZ

• Menzis

• DSW

• ONVZ

• Zorg en Zekerheid

• a.s.r.

Innovation Hubs (8+)

• Health~Holland

• AHTI

• Hi-NL

• Brightlands Campus

• EIT Health Netherlands

• REshape Center

• Jeroen Bosch Innovation Hub

• ZorgTTP (secure data exchange)

Why This Layer Matters

Payers control:
✔️ Funding for digital care pathways
✔️ Bundled payments & remote monitoring
✔️ Employer health integrations
✔️ National adoption

Without insurer alignment, even strong clinical evidence doesn’t convert into revenue.

The Netherlands Interoperability Framework (GrowthVybz)

To help founders navigate the ecosystem, use this 4-step commercialization framework:

1️⃣ Integration First

Before sales, ensure FHIR & MedMij readiness.

2️⃣ Partner with Hospitals

Pick 2–3 hospitals aligned with digital care pathways.

3️⃣ Activate Payers Early

Present outcomes, cost-savings modeling & ROI dashboards.

4️⃣ Scale via PHE Ecosystems

Use patient-controlled data access to create sticky usage.

Why Most Startups Can’t Execute This Alone

This ecosystem is powerful — but also complex, fragmented, and highly regulated.

Founders struggle because they don’t have:
❌ A clear integration roadmap
❌ Messaging tailored to Dutch payers
❌ A hospital partnership system
❌ A commercialization model that works in the NL ecosystem

This is where GrowthVybz becomes your missing link.

🔥 How I Help You Win in the Dutch Market

If you're building or expanding into the Netherlands, I can help you:

✔️ Map your interoperability readiness in 7 days
✔️ Identify the right hospital and PHE partners
✔️ Build payer-facing value propositions & ROI dashboards
✔️ Turn pilots into long-term reimbursed contracts
✔️ Create a commercial strategy aligned with Dutch regulators & insurers

You get clarity, partners, and revenue — instead of guesswork.

🏁 Final Takeaway

The Netherlands is becoming Europe’s most powerful digital health launchpad —
but only for founders who understand the MedMij interoperability stack.

Master these four layers, and you unlock one of Europe’s fastest pathways to:
✨ Hospital adoption
✨ Payer reimbursement
✨ National scaling
✨ Real-world evidence generation

Ignore them — and you join the 72% that never scale.