Quality and costs of healthcare are inextricably linked to each other. In the Dutch value-based healthcare study, this relationship was researched for the Dutch healthcare sector. We supported the study with benchmarks in which clinical outcomes and costs were linked. The participating hospitals compared their own performances with those of other hospitals. In this way, they learned from best practices and gained insight in improvement potential. This resulted in thirty percent less mortality and 21 percent fewer complications for surgically treated colon cancer in the Netherlands. In addition, it yielded a cost saving of 2.3 million euro in three years. This proves that higher quality of care ultimately leads to lower cost per patient. The methodology used in the study is now used in more than forty hospitals for more than 25 conditions.