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Cost-effective reimbursement analysis for medical technologies in Europe

Procedure coding, payment mechanism, reimbursement tariffs, policy, and HTA considerations in 20 EU countries

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White Paper: Evidence requirements for LPPR List process in France, part 1

Get insights from MTRC White Papers to enhance your understanding of the analysis of five HTAs and strategic recommendations for evidence generation strategy in France

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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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June 2025 recommendations about add-on reimbursement for medical devices in France

The French National Authority for Health (HAS) released new recommendations on the registration of medical devices and medical aids in the List of Reimbursable Products and Services (LPPR) following the June 2025 meetings of the National Commission for the Evaluation of Medical Devices and Health Technologies (CNEDiMTS). Seven favourable opinions were issued concerning add-on reimbursement for medical devices in the cardiovascular, peripheral vascular, and ophthalmology fields. 

The evaluation process begins with assessing the clinical (actual) benefit (Service Attendu, SA), which is classified as either sufficient or insufficient. Only devices with a sufficient clinical benefit are eligible for inclusion in the LPPR. If deemed sufficient, the clinical added value (Amélioration du Service Attendu, ASA) is then graded from I (major) to V (absent) for the claimed indications, influencing pricing decisions.

Examples of the CNEDiMTS recommendations regarding the registration of the new devices in the LPPR List in June 2025:

  • Triclip G4, edge-to-edge tricuspid valve repair system by Abbott Medical (application for registration; sufficient actual benefit; level III clinical added value compared to optimal medical treatment alone);
  • Ridaforolimus eluting coronary stent EluNIR PERL by Medinol (application for registration; sufficient actual benefit; level V clinical added value compared to other active coronary stents listed on the LPPR in the selected indications);
  • Aqueous humor drainage valve AHMED AGV-FP8 by France Chirurgie Instrumentation (FCI) (application for registration; sufficient actual benefit; level V clinical added value compared to other drainage implants available in the selected indications (MOLTENO implant and BAERVELDT valve, mainly)).

See the details in French here.

This news is just one of about 300 market access news collected by our team in the premium subscription service Market Access Monitor every week from more than 80 organizations. Access our paid service to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). Access is organized as an online Database and email alert formats. Contact us to get a free, three-month, no-obligation trial.