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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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CARMAT TAH (total artificial heart) system is covered by innovation package (forfait innovation) in France

On October 11, 2020, the French Ministry of Solidarity and Health published an Order in the French Official Journal relating to the coverage of CARMAT TAH by innovation package for the period of 48 months from the date of the beginning of the trial.

As the innovation package scheme is classified as coverage with the evidence development program, the coverage of the procedure is released within the multicenter clinical study, with direct non-randomized comparators, evaluating the efficacy and safety of CARMAT TAH used in the treatment of biventricular heart failure for patients eligible for transplantation.

The amount of innovation package for CARMAT TAH, including the coverage of the act and the associated hospital costs, is €248,194 per patient. The total number of patients likely to benefit from the procedure is set at 52.

The list of health establishments for which health insurance covers the procedure is provided in the Order and includes five centers in the main list and two centers in the complementary list (all the centers are public).

The full details in French can be found here.

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). First EU issues of both newsletters are available for download free-of-charge.

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