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Core value dossiers for medical technologies

Essential tool to support market access and marketing efforts through the lifecycle of the product

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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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2023/24 HRG4+ Local Payment Grouper released in England

In late March 2023, NHS England released an annual update of HRG4+ Local Payment Grouper for 2023/24, to come into effect on April 1, 2023. No new HRGs were added; the total number of HRGs has not changed (2,900).

The HRG design has been updated to accommodate the latest version of procedure coding classification (OPCS-4.10). This includes the creation of 264 new combination codes formed using new OPCS-4.10 codes, creation or amendment of grouping logic, deletion of combination codes, which were used to capture activity that now has its own specific OPCS-4.10 code, and remapping of existing OPCS codes to a more appropriate HRG. Moreover, cosmetic changes to labels and descriptions of HRGs were made to improve clarity.

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This news is just one of about 300 market access news collected by our team in the subscription services "HTA Alerts" and "Reimbursement Alerts" every two weeks from more than 80 organizations. Access our paid subscription services to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). Contact us to get a free, three-month, no-obligation trial.