ZIO

What ZIO does

ZIO Zorg In Ontwikkeling is a regional Dutch primary care support organization headquartered in Maastricht that serves the general practitioners (huisartsen) of the Maastricht-Heuvelland region. Founded in 2006 and governed by the Regionale Huisartsenzorg (RHZ) association — whose members are essentially all established GPs in the region — ZIO operates as the operational arm delivering practice management support, chronic disease coordination programs, quality management, professional training, and incident reporting to its member practices. Its core technology product is MediX 4, a chain information system (KIS) developed by X-Ample Technology BV and in continuous co-development with ZIO and RHZ since 2006; MediX 4 tracks and guides patients with chronic conditions, makes patient health status visible to all involved care providers, and supports care financing and quality improvement workflows.

ZIO's service portfolio centers on Ketenzorg (chain care) programs for diabetes, COPD, and asthma, complemented by lifestyle intervention programs (GLI), elderly care (Ouderenzorg), mental health (GGZ), youth healthcare (Jeugd), and practice-improvement programs such as PlusPraktijk 2.0, PlusWIJken, and Meer Tijd Voor de Patiënt. The organization co-developed the HaZo24 quality management system with other regional care groups based on the international NEN-EN 15224 standard, certifying most regional GP practices and its own operations including the Huisartsenpost, Chronische Zorg, and Stadspoli. Additional offerings include a VIM voluntary incident monitoring system and a Mentale Gezondheidsloket serving as a regional entry point for mental health queries.

The organization employs 11–50 people and is led by Lex Maas (General Director), Dorena Gulpers (Board Secretary and Crisis Team Chair), and Jonas Göbbels (Medical Director and practicing GP), with Aniek Vaassen managing the integrated care programs. ZIO operates under Dutch primary care reimbursement mechanics rather than commercial pricing, with revenue derived from healthcare system funding flows tied to chronic care program participation and regional GP support services. Its go-to-market is structurally embedded rather than sales-driven: engagement flows through RHZ governance, working groups, and board representation, making ZIO the de facto operating partner for the region's entire established GP base. Strategic partnerships with Maastricht UMC+, X-Ample Technology BV, and the WDH professional development working group anchor its clinical, technology, and educational layers.

Name

ZIO

Legal name

ZIO Zorg In Ontwikkeling

Website

https://zio.nl

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

11–50 employees

Short description

ZIO is a regional Dutch primary care support organization that delivers practice management, chronic disease programs, quality systems, and the MediX 4 chain information system to all established GPs in the Maastricht-Heuvelland region under RHZ governance.

Ownership category

akta.pro rank

Product category

Primary Care Support Services

NAICS

Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000), Services-Management Consulting Services (8742)

akta.pro primary industry

Medication Therapy Management (MTM) & Clinical Pharmacy Services (HLAFALAH)

akta.pro secondary industries

Chronic Disease Management & Remote Patient Monitoring (RPM) (HSABACAD), Quality Management Systems (QMS) & GxP Documentation (HLAGAKAD)

Keywords

• Primary care support
• Chronic disease management
• General practice management
• Care chain information systems
• Regional healthcare organization

Headquarters

HQ city

Maastricht

HQ country

Netherlands

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Revenue model

1. Healthcare Support Services: ZIO provides organizational support, program development, and quality management services to regional GP practices. As a regional healthcare organization, ZIO operates within the Dutch healthcare funding system to support continuity, quality, and safety of primary care.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

ZIO is a regional huisartsenorganisatie (GP support organization) that supports general practitioners in the Maastricht-Heuvelland region with practice management, chronic care programs (diabetes, COPD, asthma, elderly care, mental health, lifestyle interventions), quality management systems (HaZo24), professional training, and incident reporting. Its core technology is MediX 4, a chain information system (KIS) used since 2006 for tracking and guiding patients with chronic conditions across regional care providers.

Product overview

ZIO is a regional primary care organization (huisartsenorganisatie) that supports general practitioners in the Maastricht-Heuvelland region with practice management. The organization operates MediX 4, a chain information system (KIS) developed by X-Ample Technology BV since 2006, as its core technology product for tracking and guiding patients with chronic conditions. ZIO's service portfolio centers on coordinated care programs including Ketenzorg for Diabetes, COPD, and Asthma, Leefstijlprogramma's (GLI), Ouderenzorg (elderly care), and mental health programs (GGZ and Jeugd). Additional offerings include quality management systems (HaZo24), incident monitoring (VIM), and practice support programs. The organization also provides continuing education and training coordination for healthcare professionals.

Differentiator

Problem solved

Functional benefit

Products and services

• Ketenzorg Diabetes Chronic disease management program for diabetes patients, delivered by practice assistants or diabetes nurses under GP supervision, including annual checkups of kidney function, cholesterol, and feet.
• Ketenzorg COPD Chronic disease management program for COPD patients, including annual consultations with practice assistants, lung function measurements, medication review, and lifestyle guidance.
• Ketenzorg Astma Chronic disease management program for asthma patients, including annual consultations, lung function measurements, medication review, and lifestyle guidance.
• Ouderenzorg Elderly care program for the aging population in the Maastricht-Heuvelland region.
• Zorgprogramma GGZ Mental health care program under the integrated care, mental health, and GLI initiative.
• Zorgprogramma Jeugd Youth healthcare program under the integrated care, mental health, and GLI initiative.
• Leefstijlprogramma's (GLI) Lifestyle intervention programs aimed at behavioral change for patients.
• Mentale Gezondheidsloket Mental health counter providing information and support for GPs and patients with questions about mental health care.
• HaZo24 Kwaliteitsmanagementsysteem Quality management system developed together with other care groups, based on the international NEN-EN 15224 standard for healthcare and welfare. Used to certify GP practices in the region.
• VIM Meldingensysteem Voluntary Incident Monitoring system for reporting and analyzing unwanted events or incidents in care delivery, used for trend analysis and quality improvement.
• MediX 4 (Chain Information System) A chain information system (KIS) developed by X-Ample Technology BV in collaboration with ZIO and RHZ, used since 2006 for tracking and guiding patients with chronic conditions in the Maastricht-Heuvelland region. Makes patient health status visible to all involved healthcare providers.
• PlusWIJken Neighborhood enhancement program under the programs and projects initiative.
• PlusPraktijk 2.0 Practice improvement program under the programs and projects initiative.
• Meer Tijd Voor de Patiënt Program aimed at giving GPs more time for patient care.

Quantifiable outcome

• Most GP practices in the region are certified under the HaZo24 quality management system

Named customers2 records

Segments2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Seven partnerships are on record, tiered core and minor.

• X-Ample Technology BVcoreTechnology or Integration · 1 January 2006X-Ample Technology BV developed the MediX chain information system (KIS) for ZIO and the Regionale Huisartsenzorg (RHZ). MediX has been in use since 2006 and is continuously developed in collaboration with RHZ and ZIO for managing chronic care patients in the region.
• Maastricht UMC+ (MUMC+)coreStrategic or Co-development PartnerMUMC+ collaborates with ZIO on the Transmuraal Meldpunt (transmural reporting point) since May 2025, enabling chain partners like GP practices, pharmacies, and care institutions to report incidents and improvement points in the care chain. The partnership also involves coordination on care pathways and specialist consultation.
• Regionale Huisartsenzorg (RHZ)coreStrategic or Co-development PartnerRHZ is the association of GPs in the Maastricht-Heuvelland region that founded and governs ZIO. All established GPs in the region are members. ZIO operates under the strategic direction of RHZ for general practice medicine.
• HaZo24 Consortium (Other Care Groups)coreStrategic or Co-development PartnerZIO co-developed the HaZo24 quality management system with other regional care groups, based on the international NEN-EN 15224 standard for healthcare and welfare.
• SKGE (Stichting Klachten en Geschillen Eerstelijnszorg)minorOthersExternal complaints body for reassessing complaints from patients who are not satisfied with ZIO's internal resolution. The decision is binding.
• Huis voor de ZorgminorOthersPatient rights organization that provides information about patient rights and obligations, serving as an escalation point for unresolved complaints.
• Werkgroep Deskundigheidsbevordering Huisartsen (WDH)coreStrategic or Co-development PartnerProfessional development working group consisting of RHZ GPs and MUMC+ specialists that develops and accredits continuing education for GPs in the region.

Scale indicators1 record

Recent moves6 records

Expansion highlights5 records

Others

• InEen: Dutch trade association representing primary-care organizations including zorggroepen, GP posts, and health centers — comparable as the umbrella body for organizations operating the same regional primary-care coordination model that ZIO exemplifies.
• Nederlands Huisartsen Genootschap (NHG): Scientific association for Dutch GPs that sets clinical standards (NHG guidelines), accredits training, and shapes primary-care policy — relevant ecosystem counterpart to ZIO's quality-management and professional-development work, though not a commercial competitor.

Emerging players

• Nedap Healthcare: Dutch healthcare IT vendor providing EHR, care planning, and connected-care software used by GPs, home care, and elderly care providers in the Netherlands — comparable as an IT vendor in the Dutch primary-care ecosystem that competes for the software/coordination layer that MediX occupies for ZIO.

Direct peers

• Huisartsenzorg Oostelijk Zuid-Limburg (HOZL): Regional Dutch zorggroep in the adjacent Oostelijk Zuid-Limburg area supporting GP practices with chronic care programs, quality management, and care coordination — operates the same regional primary-care support model as ZIO, making it the closest direct comparable.
• Dokterszorg Friesland: Regional zorggroep in Friesland coordinating chronic care programs (diabetes, COPD, asthma) for affiliated GP practices and providing practice management support — directly analogous to ZIO's regional primary-care coordination role, just in a different Dutch province.
• Arts en Zorg: One of the larger Dutch primary care organizations, providing GP practice management, chronic care programs, and operational support across multiple regions — same core service bundle as ZIO (practice support, chronic care, quality) but at materially greater scale and geographic footprint.
• Cohesie: Dutch primary care cooperative providing chronic disease management programs, GP practice support, and care coordination infrastructure across multiple regions — same zorggroep-style operating model as ZIO with comparable chronic-care and quality programs.
• Medrie: Regional Dutch primary care organization supporting GP practices with chronic disease management (diabetes, COPD, asthma), care coordination, and quality improvement — highly comparable to ZIO's Ketenzorg and practice-support model, though operating in the Overijssel/Flevoland region.
• SGE (Stichting Gezondheidscentra Eindhoven): Eindhoven-based regional primary care organization operating health centers and coordinating chronic care programs for affiliated GPs — comparable to ZIO as a regionally embedded primary-care support entity with integrated chronic disease management.

Broad incumbents

• ChipSoft: Leading Dutch healthcare IT vendor whose HiX/EHR suite is widely used across hospitals and increasingly in other care settings — comparable as a healthcare-IT player in the Dutch market whose platforms overlap with the care-coordination function MediX provides to ZIO's GP network.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights5 records

Customer concentration

• Facebookfacebook.com/ZIOMaastricht

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ZIO