DRG

On June 30, 2025, the document "Changes and innovations in the 2026 LKF model" (Änderungen und Neuerungen in den LKF-Modellen 2026) was published. The document summarizes the most significant changes and innovations in the LKF model for inpatient and outpatient care. The procedure codes expected to be introduced in 2026 mainly concern e-health, endoscopy, interventional radiology, orthopedics, pulmonology, and robotic fields.

On May 01, 2025, the Dutch Healthcare Authority (NZa) published the first release of the 2026 DRG package (RZ26a). Three new procedure codes, seven new supplementary payments (OZPs), one new diagnosis code, and two new DRGs will be implemented across in-vitro diagnostics, obstetrics and gynecology, neurology and neurosurgery, cardiovascular and other technology groups.

On April 30, 2025, the National Association of Statutory Health Insurance Physicians (KBV) announced that it had reached an agreement with the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband) on the further expansion of the Hybrid DRG catalog in 2026. The decision was made by the extended Evaluation Committee, as no consensus could be reached with the German Hospital Federation (DKG).

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.