EuroHealthNet Guide for Financing Prevention and Health Promotion

2.2.3

More effective and new collaborations

Evidence shows that cross-sector collaboration can play an important role in designing, implementing, and financing effective health-promoting services. These collaborations can take many forms, including formal joint ventures, public-private partnerships, or coordinated efforts with insurance and pension funds. They offer a range of different sectors the opportunity to become involved in aligning their work towards common targets and view health promotion as a shared investment.

Disc case study - More effective and new collaborations
2.2.3 Within health sector

Working within the health sector

Health insurance funds are well-positioned to support preventive services by recognising the long-term savings generated through improved population health.

In several European countries, like Germany or the Netherlands, legislative and policy frameworks enable insurance funds to finance public health services and targeted interventions This has huge potential for combining well-planned health promoting services and sustainable financing.

Similarly, institutional investors such as pension funds have an interest in supporting healthy ageing and productivity, and can become active stakeholders in financing interventions that improve long-term health outcomes.

2.2.3 Beyond health sector

Going beyond the health sector

Beyond the health sector, partnerships with other public sectors, private companies, voluntary associations, local authorities, and civil society organisations open new pathways for co-designing and delivering impactful interventions.

These collaborations can take many forms — from formalised joint ventures to community-driven alliances — each with their own mechanisms for pooling resources, sharing risks, and generating value. Public-private partnerships, when structured ethically, transparently and guided by public health priorities, can help address complex health and social challenges by bringing in new skills, networks, and funding to scale up interventions.

Such collaborations are most effective when built on transparency, accountability, and equitable risk-sharing, which safeguard public trust and ensure alignment with health system goals.

The ability to pool resources across these sectors aligns closely with the , enabling more efficient and impactful use of available funds while addressing complex health and social challenges.

Related case studies

Insurance funds

The Prevention Act in Germany

To improve health promotion and disease prevention, Germany implemented the Prevention Act to strengthen collaboration across sectors and support preventive initiatives in schools, workplaces, and communities.
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Health insurance funds – Combined Lifestyle Interventions in the Netherlands

Aiming to address overweight and obesity, the Netherlands integrated Combined Lifestyle Interventions (CLIs) into its basic health insurance system to provide structured, preventive care through certified professionals. These fully reimbursed two-year programmes aim to improve health outcomes and access to prevention, particularly for lower-income groups, while supporting more cost-effective national healthcare delivery.
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Public-private partnership

Addressing maternal mortality and morbidity in California through public-private partnerships

The California Maternal Quality Care Collaborative uses a public-private partnership to reduce maternal mortality and morbidity. By bringing together hospitals, clinicians, state agencies, and private funders, the initiative provides real-time data, quality improvement programs, and staff training across more than 130 hospitals.
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Joint venture

Future Parks Accelerator

Developed to address declining investment in urban green spaces in the United Kingdom, the Future Parks Accelerator is a £14 million joint venture between The National Lottery Heritage Fund and the National Trust to support parks and green infrastructure. The initiative brings together partners to protect and improve parks that support health, wellbeing, and biodiversity in cities
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Beyond the health sector

Maintaining employability through the TErrA Project in Germany

To support sustainable employment and reduce work-related health exits, Germany’s TErrA project promotes preventive career planning to help employees remain in the workforce through job transitions aligned with their health, skills, and motivation. This approach aims to strengthen inter-company job rotation while revealing gaps in financial support for preventive employment measures.
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‘Finance for Nature Positive’ initiative

To halt biodiversity loss, the UNEP-led ‘Finance for Nature Positive’ initiative seeks to redirect global financial flows towards activities that protect and restore ecosystems. It provides a framework for financial institutions to align investment strategies with nature-positive goals, shifting capital away from harmful activities and towards sustainable environmental and societal outcomes.
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About EuroHealthNet

Building a healthier future for all by addressing the determinants of health and reducing inequalities.

EuroHealthNet is the Partnership of public health agencies and organisations building a healthier future for all by addressing the determinants of health and reducing inequalities. Our focus is on preventing disease and promoting good health by looking within and beyond the health system.

Structuring our work over a policy, a practice, and a research platform, we focus on exploring and strengthening the links between these areas.

Our approach focuses on integrated concepts to health, reducing health inequality gaps and gradients, working on determinants across the life course, whilst contributing to the sustainability and wellbeing of people and the planet.

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