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Cost-efficient European adaptations of global health economic models

Experience with model adaptations in Austria, Belgium, France, Germany, Italy, Norway, Netherlands, Spain, Sweden, the UK

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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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Decree describing the new framework for reimbursement of telemonitoring released in France

25 Jan 2023

In 2014 the telemedicine experiments, including teleconsultation, tele-expertise, and telemonitoring, were initiated under the national pilot program “Experiments in Telemedicine for the Improvement of Health Pathways” (ETAPES). Since 2018, teleconsultation and tele-expertise have been covered by statutory health insurance (Article 54 of the Law on Social Security Financing for 2018) via the ETAPES program. The telemonitoring experiments for five pathologies continued under the ETAPES program until July 1, 2022.

On July 1, 2022, the new framework for reimbursement of remote medical monitoring (according to Article 36 of the Social Security Financing Act for 2022) has been developed, and, officially, the ETAPES program was discontinued on August 1, 2022. However, the reimbursement for remote monitoring will be continued via the ETAPES program until the new framework becomes functional, with the final deadline for implementation being July 1, 2023.

On December 31, 2022, the Decree defining the reimbursement of medical telemonitoring activities via the new framework was published in the Official Journal of the French Republic. The Decree determines the methods of evaluation of digital solutions, registration for reimbursement, modification of the registration conditions, removal and invoicing of medical telemonitoring activities, as well as the conditions for setting the reimbursement packages.

More details 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). Contact us to get a free, three-month, no-obligation trial.