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Dialysis

An overview of market access challenges for hemodialysis and peritoneal dialysis in European countries.

News and insights

2026 DRG tariff system guide published in Denmark

In December 2025, the Danish Health Data Authority published the DRG tariff system (Takstsystem) guide, which provides an overall description of billing rules, tariffs, and grouping logic for 2026. Among other changes, 17 new DRGs were introduced in the nephrology and urology, obstetrics and gynecology, and some other fields.

The 2026 DRG catalog released in Germany

On November 20, 2025, the Institute for the Hospital Remuneration System (InEK) published the DRG catalog (Fallpauschalen-Katalog), which includes the list of DRGs and additional reimbursement categories (ZEs) for 2026. Five new DRGs were introduced in the diagnostic imaging, men’s health, nephrology and urology, and radiotherapy fields. No new MedTech-related ZE categories were added to the catalog.

Centralization of complex treatments for cancer and vascular diseases in the Netherlands

Since March 2025, the Dutch Healthcare Institute (ZIN) has been establishing new standards for vascular surgery and cancer treatment, resulting in the centralization of complex interventions only in hospitals that consistently demonstrate a high volume of such procedures. In November 2025, the seven regions agreed on which hospitals would provide complex cancer and vascular procedures starting in 2026, with a one-year transition period before the new care distribution began on January 1, 2027.