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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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Med Tech-related technology assessments and clinical guidelines from NICE in November 2023

04 Dec 2023

The National Institute for Health and Care Excellence (NICE) develops Interventional Procedures Guidance (IPG) for most novel interventional procedures entering the English market. The program focuses solely on clinical evidence. Recommendations may vary from "for research only" to "for use with standard arrangements for clinical governance, consent, and audit." Recommendations are not binding, although they are followed by providers and commissioners.

In November 2023, NICE published four new IPGs and made the following conclusions:

Health Technology Evaluations (HTE) are the new type of NICE guidance that uses the Early Value Assessment (EVA) approach to provide rapid conditional recommendations on promising health technologies that have the potential to address unmet national needs. NICE evaluates the available evidence to determine if earlier patient and system access in the NHS is appropriate while further evidence is generated.

In November 2023, NICE published one new HTE virtual reality technologies for treating agoraphobia or agoraphobic avoidance and made the following recommendations: 

  • One technology (gameChangeVR) can be used in the NHS while more evidence is generated to treat severe agoraphobic avoidance in people with psychosis aged 16 and over. It should be used with the support of a mental health professional. NICE also developed the evidence generation plan for this technology. The company must confirm that agreements are in place to generate the evidence and contact NICE annually to confirm that evidence is being generated and analyzed as planned. NICE may withdraw the guidance if these conditions are not met. At the end of the evidence generation period (3 years, or sooner if enough evidence is available), the company should submit the evidence to NICE in a form that can be used for decision-making. NICE will review the evidence and assess if the technology can be routinely adopted in the NHS;
  • The following VR technologies can only be used in research: gameChangeVR to treat mild to moderate agoraphobic avoidance in people with psychosis, Amelia Virtual Care, and XR Therapeutics to treat agoraphobia.

Five clinical guidelines were updated in November 2023. However, no MedTech-related changes were made:

  • Familial breast cancer: classification, care and managing breast cancer and related risks in people with a family history of breast cancer;
  • Suspected acute respiratory infection in over 16s: assessment at first presentation and initial management;
  • Hypertension in adults: diagnosis and management;
  • Transient loss of consciousness ('blackouts') in over 16s;
  • COVID-19 rapid guideline: managing COVID-19.

See the full details 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.