The Decision Group

What The Decision Group does

The Decision Group (TDG) is a privately held Amsterdam-based boutique consultancy founded in 1998 that specializes in strategy, corporate governance, and life sciences & health, with a category-defining practice in Value Based Healthcare (VBHC) implementation. Its core offerings include VBHC Implementation Bundles (covering Patient Relevant Outcomes, Pay for Value Contracting, Health Technology Assessment, and PROMs), strategic projects using proprietary tools such as SCENARIO 3.0, Conjoint Analysis, Competitiveness Monitor, and Strategy Simulations, corporate governance and board counseling services, and life-science/health consulting spanning business development, health economics, policy making, and implementation. Since 2008, the firm has executed more than 216 unique VBHC implementation projects and operates the VBHC Center Europe (chaired by Prof. Dr. Fred van Eenennaam) alongside the affiliated Decision Institute, which delivers accredited DBA/PhD and executive education programs across five research centers.

The firm's revenue model is professional services on a quote-based, multi-year co-creation basis rather than transactional hourly billing. Pricing is not publicly disclosed; engagements are tailored and include a risk/reward-sharing mechanism where the firm reinvests a portion of fees into the next phase of identified opportunities. Distribution is entirely direct, enterprise field sales, supplemented by content marketing through the quarterly Breakthrough Thinkers Magazine, VBHC.TV, and annual VBHC Prize event. Customer segments are vertically split across Healthcare Providers & Medical Professionals, Life Sciences Companies, Government & Healthcare Policy Makers, and Corporate Clients (Strategy & Governance), with select named relationships including Ramboll, VINCI Energies, Harvard Business School, and the Dutch Lifesciences Cluster.

The operating model is unusually lean: 7 core employees are supported by a network of 110+ active collaborators and an international academic bench (many staff hold professorships at international universities), with international offices in Cambridge, MA (Harvard Square) and Legnano/Milan. The firm has no institutional investors, no disclosed funding, no M&A activity, and no app or API/SDK surface; AI/ML capabilities are not present in the disclosed offerings. Ownership is private and controlled by the founding team.

Name

The Decision Group

Legal name

The Decision Group

Website

https://thedecisiongroup.nl

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

1–10 employees

Short description

The Decision Group is an Amsterdam-based boutique consultancy, founded in 1998, that helps enterprise clients in strategy, corporate governance, and life sciences/health, with a category-leading practice in Value Based Healthcare implementation serving healthcare providers, life science companies, and policy makers across Europe and North America.

Ownership category

akta.pro rank

Product category

Strategic Management Consulting

NAICS

Management Consulting Services (54161), Management, Scientific, and Technical Consulting Services (5416)

SIC

Services-Management Consulting Services (8742)

akta.pro primary industry

Organization Design & Operating Model Consulting (BPAHAGAB)

akta.pro secondary industry

Organization Design & Restructuring (BPACAJAB)

Keywords

• Strategic management consulting
• Value based healthcare
• Corporate governance advisory
• Life sciences consulting
• Health economics consulting

Headquarters

HQ city

Amsterdam

HQ country

Netherlands

HQ region

Europe

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Strategic Consulting Services: Core consulting services in Strategy, Governance, and Life Sciences & Health. Includes strategic projects where they take weight off client's shoulders when they don't have time/resources to carry out strategic projects. Features long-term client relationships with novel & customized approaches.
2. VBHC Implementation Packages: VBHC implementation bundles and mentoring programs including Start Pack and additional implementation bundles. Services include Pay for Value Contracting, VBHC Culture Implementation, Health Technology Assessment, PROMs implementation, and patient journey improvement.
3. Keynote Speeches: Interactive presentations on strategic thinking delivered at prominent healthcare events, studio-recorded sessions, or on-request. Focus on maximizing business performance through strategic thinking skills.
4. The Decision Institute Programs: The Decision Institute (affiliated entity) offers tailor-made in-house programs, executive education, masterclasses, workshops and doctorate programs (PhD, DBA) in life sciences, health, strategy, and corporate governance. The Decision Institute has 5 research and innovation centers.
5. Strategic Dialogue & Workshops: Workshops with top topic experts from their network on specific strategic or governance challenges.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels9 records

Core offering

The Decision Group is a pioneering consultancy firm that facilitates sensible decision making in challenging business environments and co-creates effective business results through strategic consulting. Their core offerings span three expertise areas: Strategy (using proprietary tools like SCENARIO 3.0 and Competitiveness Monitor), Governance (board counseling, tech and innovation boards), and Life Sciences & Health (with a focus on Value Based Healthcare implementation, having executed 216+ VBHC projects). They operate a co-creation model with long-term enterprise client relationships rather than transactional supplier engagements.

Product overview

The Decision Group is a pioneering consultancy firm that offers a portfolio of professional services centered on strategy, governance, and life sciences/healthcare consulting. The core offerings include VBHC Implementation Bundles for healthcare organizations seeking Value Based Healthcare compliance, Strategic Projects and Advanced Strategic Tools for corporate strategy work, and comprehensive Corporate Governance Services including board counseling and innovation governance. Related offerings include The Decision Institute's educational programs (executive education, doctorate programs), Breakthrough Thinkers Magazine as a thought leadership publication, and specialized services in health economics and policy making for the life science and health sector. The Decision Institute, an affiliated business school, provides academic grounding and doctorate programs.

Differentiator

Problem solved

Functional benefit

Brands

• VBHC Implementation Packages: VBHC compliance packages and bundles for successful Value Based Healthcare implementation
• Breakthrough Thinkers Magazine
• VBHC Center Europe

Products and services

• VBHC Implementation Bundles Implementation packages and bundles designed to help healthcare organizations become Value Based Healthcare (VBHC) compliant, including Start Packs and continuous mentoring programs covering Pay for Value Contracting, VBHC Culture Implementation, Health Technology Assessment, and PROMs implementation.
• Strategic Projects Consulting Strategic consulting services for organizations that lack the time or resources to carry out strategic projects independently, applying proprietary tools like SCENARIO 3.0 and Competitiveness Monitor to facilitate rational decision making.
• Strategic Dialogue & Workshops Workshops providing strategic discussions with topic experts from The Decision Group's network on specific strategic or governance challenges.
• VBHC Keynotes Interactive keynote presentations featuring breakthrough examples of Value Based Healthcare implementation delivered as short high-quality video presentations by recognized experts, available on-request and at prominent healthcare events.
• Corporate Governance Services Governance consulting including board counseling, tech board establishment, innovation board facilitation, and leadership training.
• The Decision Institute Programs Executive education, masterclasses, workshops, and doctorate programs (PhD, DBA) in life sciences, health, strategy, and corporate governance offered through The Decision Institute, an affiliated business school with 5 research and innovation centers.
• Life Science & Health Consulting Strategic consulting services for the Life Science and Health sector covering business development, implementation (process optimization and digital transformation), strategy, health economics (model development, data collection, health economic reports), and policy making (agenda setting through evaluation).

Quantifiable outcome

• 216+ VBHC implementation projects successfully executed
• +2 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Six partnerships are on record, tiered core, flagship and minor.

• VBHC Center EuropecoreStrategic or Co-development Partner · 1 January 2008Value Based Health Care Center Europe was established in 2008. Prof. Dr. Fred van Eenennaam serves as Chairman. The center enables medical professionals, academic professionals, patient organizations, educators, healthcare managers, government officials, health insurers, and industrial innovators to discuss VBHC. It provides a platform for VBHC concepts and best practices through VBHC.TV, VBHC Thinkers Magazine, academic papers, and international academic councils.
• The Decision InstitutecoreStrategic or Co-development PartnerThe Decision Institute is a pioneering business school with in-depth knowledge and experience in academic teaching, research and action learning. It offers tailor-made in-house programs, executive education, masterclasses, workshops and doctorate programs in life sciences, health, strategy, and corporate governance. The Decision Institute has 5 research and innovation centers and is affiliated with The Decision Group. Prof. Dr. Fred van Eenennaam serves in leadership roles at both organizations.
• Harvard Business SchoolflagshipStrategic or Co-development PartnerLong-standing collaboration with Harvard Business School for business case writing, with over a decade of partnership. Prof. Dr. Fred van Eenennaam has close relationship with Prof. Michael Porter of Harvard Business School.
• Dutch Lifesciences ClustercoreStrategic or Co-development PartnerThe Decision Group developed an outlook monitoring the cluster's success, performance and progress for the Dutch Lifesciences Cluster and its cluster management organization.
• International Universities NetworkcoreStrategic or Co-development PartnerThe Decision Institute and The Decision Group are affiliated to a large number of universities and business schools and linked with numerous academics. They often contact these academics for thorough academic grounding of theoretic models and validation of methodologies.
• International Academic Council NetworkminorStrategic or Co-development PartnerVBHC platform provides opportunities to form national and international academic councils around themes and chapters of interest in value-based healthcare.

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Oliver Wyman: Global management consultancy with dedicated Health & Life Sciences practice working on provider transformation, value-based care, and payer strategy — directly competing with TDG on the same healthcare consulting mandates.
• Huron Consulting Group: Public US consulting firm with healthcare and life sciences consulting practices delivering strategy, operational improvement, and transformation engagements at enterprise scale — competes with TDG on larger healthcare transformation mandates.
• Bain & Company: Bain's Healthcare practice and its extensive value-based care research (including the 'Bain Global Healthcare Private Equity Report') address many of the same provider/payer transformation and corporate strategy engagements as The Decision Group, especially in life sciences.
• McKinsey & Company: Global tier-1 management consulting firm with a major Healthcare Systems & Services practice that competes for the same enterprise strategy, transformation, and value-based care engagements as The Decision Group, but with vastly deeper bench and global delivery.
• Boston Consulting Group: BCG operates a strong Healthcare and Value-Based Care practice (with affiliated BCG Henderson Institute research) that competes with TDG on outcome-based strategy, hospital transformation, and value-based contracting — directly overlapping VBHC advisory scope.

Direct peers

• L.E.K. Consulting: Global strategy firm with a sizeable Healthcare and Life Sciences practice doing strategy, value-based care, and corporate development work — closely overlapping with TDG's life sciences/health and strategy engagement mix.
• Charles River Associates: Global consulting firm with a Life Sciences and Healthcare practice providing strategy and economics advisory — overlapping with TDG's life sciences strategy, health economics, and policy-making service lines.
• Vintura: Dutch-based healthcare consultancy focused on value-based healthcare, patient outcomes, and provider transformation — the closest direct European competitor to TDG's VBHC implementation practice in the Netherlands.
• Roland Berger: European-headquartered strategy consultancy with strong healthcare and life sciences practices serving enterprise clients across the continent — comparable in geography, sector focus, and operating-model consulting orientation to The Decision Group.
• Arthur D. Little: Long-established global strategy consulting firm with healthcare and life sciences practices serving European enterprise clients — comparable in boutique-style positioning and operating-model/strategy focus to The Decision Group.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/decision_group
• YouTubeyoutube.com/channel/UCrklG0PsjAeVI5_y67z5C2w
• Facebookfacebook.com/breakthroughthinkers
• LinkedInlinkedin.com/company/the-decision-group

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

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

Frequently asked questions about The Decision Group