In 2013, the Netherlands Ministry of Health, Welfare and Sport designated nine regional innovation initiatives as pioneer sites in a nationwide effort to achieve ‘better health care at lower cost’. The sites were put forward by several Dutch health care insurance companies. The regional collaboration initiatives are now implementing project plans to accomplish the Triple Aim (better health, improved quality and cost control) (Drewes et al., 2014). This fact sheet, based on documents and interviews with programme managers and steering group members, charts the progress made by the pioneer sites so far.