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Market access for medical technologies in Norway

A brief overview of key market access pathways and challenges for medical devices, in-vitro diagnostic tests in Norway

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Key topics

There are three key themes describing market access for medical technologies in Norway: 

  • Reimbursement: payment mechanism via the DRG system
  • Funding: national guidelines by the Directorate of Health, coverage decisions in the national “New Methods” framework
  • Health technology assessment: HTAs by the Norwegian Medical Products Agenc  within the “New Methods” framework
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Reimbursement

Reimbursement for hospital and most outpatient specialist procedures is made via the Norwegian version of the NordDRG system, which is shared with other Nordic countries, including Finland and Sweden. The DRG system does play a smaller role compared with other European countries (e.g., France or the Netherlands), as it accounts only for 40% of hospital revenue (the other 60% - via block grant payment mechanism), but plays a greater role compared to other Nordic countries. 

The Norwegian reimbursement system (ISF) has the following components:

  • Diagnosis-related groups (DRGs), which are determined by the combination of a procedure code (NKPK coding system) and a diagnosis code (ICD-10). The NKPK coding system is maintained by the Directorate of Health and released annually;
  • Special Service Groups (STGs) cover specialist health services that take place in other than traditional inpatient and outpatient settings, as extended over a long period of time so that the patient himself is more responsible for the administration of the treatment;
  • Service Progress Groups (TFG) "bundled payments" are aggregated levels above DRG and STG, providing financing of a patient treatment course with several stays and activities. The aim of the TFG introduction was to provide incentives for cost-effective treatment choices through harmonization of pricing and payment for different methods (technology, organization, etc.).
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Funding

Norway has no nationally defined list of health benefits which are guaranteed to the Norwegian population. Decisions on which treatment methods to use and which new technologies to introduce are made by the hospitals.

However, all innovative medical technologies must undergo evaluation and obtain a coverage decision within the national “New Methods” framework. The framework has two levels:

  • National level, where decisions based on HTAs are made by the four Regional Health Authorities jointly. This is relevant mostly for highly specialized services and highly innovative technologies;
  • Local level, where decisions are made based on the mini-HTAs performed locally in the hospital.
    The presence of methods in national guidelines developed by the Norwegian Directorate of Health can significantly support the adoption of novel technologies by healthcare providers and payers (Regional Health Authorities). 
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Health technology assessment

Since 2024, the Norwegian Medical Products Agency (former Norwegian Medicines Agency) performs national HTAs for medical devices within the “New Methods” framework; the Norwegian Institute of Public Health is now responsible for HTAs for procedures without significant MedTech component. 
 

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Specifics for IVD tests

All laboratory tests in hospital settings, and simple laboratory biochemistry tests that are performed as part of outpatient consultations are covered within the DRG system.

IVD tests performed in outpatient specialist settings are reimbursed on a fee-for-service basis using the Norwegian Laboratory Code (NLK) System. 

MTRC has experience with more than 160 projects in Norway

News and insights

National Cancer Strategy for 2025-2030 published in Norway

In February 2025, the Ministry of Health and Care Services published a National Cancer Strategy for 2025-2030. The strategy outlines five key target areas with corresponding goals and actions. The target areas comprise pioneering cancer prevention and early detection, improving patient outcomes, enhancing user-oriented cancer care, increasing survival rates and longevity, and ensuring the best possible quality of life. The actions include the expansion of national screening initiatives, the accreditation of Comprehensive Cancer Centers, digital home monitoring, precision diagnostics, and the establishment of a national healthcare innovation hub.

Nordic cooperation for sustainable procurement of medical equipment

In late January 2025, the Nordic Initiative for Environmental Labelling of Medical Supplies (NIELS) project was completed. The initiative was aimed to promote greener procurement of medical equipment by expanding the use of eco-labeling. Following its successful conclusion, the project is now considering opportunities to broaden the dialogue to a European level.

“New Method” framework 2024 annual summary released in Norway

On February 21, 2025, the “New Method” framework published an annual summary of the Decision Forum and Ordering Forum work in 2024. Among 109 coverage decisions in 2024, only one was for Med Tech (Oncotype DX), while all others concerned pharmaceuticals.

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