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Health economic modeling for medical technologies in Europe

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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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The G-BA Innovation Committee recommends transfer to standard care for another two projects in Germany

On January 25, 2023, the Innovation Committee at the Federal Joint Committee (G-BA) published the decisions, recommending the transfer to standard care for another two completed projects. The projects relate to the improvement of the management of peripheral arterial occlusive disease (PAD) patients and the aftercare of pediatric patients suffering from chronic pain.

The “PAD-TeGeCoach – Peripheral arterial occlusive disease (PAD): Health coaching and telemetrically supported walking training to improve quality of life” tested a coaching program to increase the health competence and physical activity of patients. Among other things, the individual daily walking distance was recorded using an activity tracker (fitness bracelet). Health coaches used the transmitted data to advise the patients on the clinical picture and supervised them during their walking training. From the point of view of the Innovation Committee, the tried-and-tested approach, which combines structured walking training, telemedicine, telerehabilitation, and digital health applications (DiGA), is promising for PAD patients.

The “SCHMERZ-NETZ - Children's pain therapy networked: Socio-medical aftercare for severe chronic pediatric pain patients” project developed an intensified and individualized socio-medical aftercare program: After the pain therapy in the hospital, the children and adolescents and their families were cared for up to six months by a multi-professional team on an outpatient basis. The team had expertise in the fields of social work and medicine, and psychology. The successfully tested approaches can be potentially used to develop further the (legal) framework for pediatric socio-medical aftercare.

The detailed results of the projects are now being forwarded to the relevant organizations and institutions in the healthcare sector. In this regard, the respective stakeholders are requested to review the results and consider them within their area of responsibility as much as possible, specifically concerning the quality assurance aspect.

The full details in German can be found here, here (the decision and the results of the PAD-TeGeCoach project), and here (the decision and the results of the SCHMERZ-NETZ project)

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.