DRG

On April 9, 2025, the Ministry of Labor, Health, Solidarity and Families published the Order setting DRG tariffs and tariffs for other packages and supplements for 2025. New tariffs are applicable from March 1, 2025.

In March 2025, the entity managing the DRG system in Switzerland, SwissDRG, announced that they would be accepting applications for changes in the DRG system from June 2, 2025, until July 14, 2025. The results of the DRG applications made in 2025 will be reflected in the 2027 version of the SwissDRG.

On April 4, 2025, NHS England published the final NHS Payment Scheme (NHSPS) for the 2025/26 financial year (starting on April 1st), defining payment mechanisms for the provision of NHS-funded hospital and ambulatory care and some public health services. No significant changes were made to the general payment model. The key changes include the introduction of reimbursement for activities from Community Diagnostic Centres and a new Best Practice Tariff to incentivize shifting suitable procedures from day case/hospital to outpatient settings.

On March 6, 2025, NHS England released an annual update of the HRG4+ Local Payment Grouper for 2025/26, to come into effect on April 1, 2025. No new HRGs were added; the total number of HRGs has not changed (2,900).

In February 2025, the Danish Health Data Authority opened the application period for changes to the 2027 DRG logic, including the creation of new DRG codes and modifications to the grouping logic for existing DRGs. The application deadline is October 31, 2025.

On January 30, 2025, NHS England published a proposed 2025/26 NHS Payment Scheme (NHSPS) and launched a consultation. The scheme will be set for one financial year (starting on April 1, 2025). No significant changes were made to the general payment model. The changes include the introduction of tariffs for activities from Community Diagnostic Centres and a new Best Practice Tariff to incentivize shifting suitable procedures from day case or elective settings to outpatient settings. The deadline for comments submission is February 28, 2025.

In January 2025, the Belgian National Institute for Health and Disability Insurance (INAMI/RIZIV) released updated APR-DRG tariffs for the “low variability care” system. No significant changes were made, and no new APR-DRGs were added. The reimbursement tariffs were increased by about 2.5%.

On January 1, 2025, the annual update of the Finnish NordDRG system came into force. A total of 54 new DRGs were introduced concerning cardiovascular, diagnostic imaging, endoscopy, gastrointestinal, ENT, neurology and neurosurgery, men’s health, obstetrics and gynecology, orthopedics, peripheral vascular, pulmonary and airways, spine, and surgical procedures fields.

On December 20, 2024, the Belgian Health Care Knowledge Center (KCE) released the Health Services Research report on expenditure control measures in Diagnosis-Related Group (DRG)-based hospital payment systems. The report offers an overview of the current hospital financing model in Belgium, details proposed reforms toward case-based DRG payments, reviews expenditure control mechanisms in five European countries, and provides recommendations to stakeholders.

On December 12, 2024, the entity managing the DRG system in Switzerland, SwissDRG, published the final (billing) version of the 2025 DRG system. In total, 23 new DRGs related to cardiovascular, gastrointestinal, nephrology and urology, neurology and neurosurgery, obstetrics and gynecology, orthopedics, pulmonary and airways, and some other areas were introduced. Also, 17 new add-on reimbursement categories were implemented.

In late November – early December 2024, the application period for 2026 ICD-10-GM (German modification of ICD-10 diagnosis codes), OPS (procedure codes), and DRG changes was opened by the Federal Institute for Drugs and Medical Devices (BfArM) and the Institute for Hospital Remuneration Systems (INeK), respectively.

In November 2024, the annual update of the Swedish NordDRG system was published to come into force on January 1, 2025. No new DRGs were introduced. In 2025, to obtain DRG tariffs, cost-weights must be multiplied by a base rate of 88,061 SEK.