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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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Common catalog of the ortho-prosthetic devices updated in Spain

In January 2019, the Ministry of Health, Consumer Affairs and Social Wellbeing of Spain has released an Order by which Annex VI of the Royal Decree 1030/2006 is modified. The Order that modifies the cited Royal Decree is the Order SCB/45/2019 and it was published in the State Official Bulletin, nº22 from January 25th, 2019.

The purpose of this order is to regulate the content, the concepts, the access, the procurement procedure and the general requirements of ortho-prosthetic provision set out in Annex VI of Royal Decree 1030/2006, of September 15, whereby it is established the portfolio of common services of the National Health System and the procedure for its update.

This Order includes 48 new types of products (wheelchairs, orthoses, and special prosthetics), as well as new indications for the existing ones that will cover needs unmet until now.

Furthermore, in regard to the supplementary ortho-prosthetic provision, the order specifies:

  • The common catalog of wheelchairs, orthoses, and special ortho-prostheses is updated
  • The maximum financing amounts for each type of product, when they are provided to users of the National Health System, are fixed
  • Correction of coefficients that allow calculation of the prices of Offer to determine the final billing price of the ortho-prosthetics products to those responsible for the ortho-prosthetic provision, both when paid directly to the dispensing establishments and when the corresponding expense to users has to be refunded are established
  • It regulates the inclusion procedure, alteration of the conditions of use and exclusion of the Offer of ortho-prosthetic products of the National Health System for the external ortho-prosthesis

In conclusion, this order provides a more equitable, updated and efficient ortho-prosthetic service to the national health system and mutual benefit users, regardless of their place of residence.

See the Order SCB/45/2019, with the list of provided medical devices in Spanish  here.

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