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Cost-effective reimbursement analysis for medical technologies in Europe

Procedure coding, payment mechanism, reimbursement tariffs, policy, and HTA considerations in 34 EU countries

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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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MedTech-related health technology assessments from NIHR in May 2023

The National Institute for Health and Care Research (NIHR) funds valuable independent research for health and social care decision-makers in England. Reports from the Health Technology Assessment (HTA) Programme are published in the NIHR HTA Journal and inform NICE guidance.

In May 2023, two MedTech-related assessments were published in the NIHR HTA Journal:

  • The clinical and cost-effectiveness of endoscopic bipolar radiofrequency ablation for the treatment of malignant biliary obstruction was assessed in a systematic review. It was concluded that primary radiofrequency ablation increases survival and is likely to be cost-effective. The evidence for the impact of secondary radiofrequency ablation on survival and quality of life is limited. There was a lack of robust clinical effectiveness data, so more information is needed for this indication;
  • An assessment of mortality impact, risks, and benefits of general population screening for ovarian cancer was based on a randomized controlled trial (UKCTOCS) involving 27 primary care trusts adjacent to 13 trial centers based at NHS Trusts in England, Wales, and Northern Ireland. Postmenopausal average-risk women aged 50–74 with intact ovaries and no previous ovarian or current non-ovarian cancer were included. One of the two annual screening strategies applied: multimodal screening (MMS) using a longitudinal CA125 algorithm with repeat CA125 testing and transvaginal ultrasound scan as a second-line test; or ultrasound screening (USS) using transvaginal scan alone with repeat scan to confirm any abnormality. It was concluded that population screening for ovarian and tubal cancer for average-risk women using these strategies should not be undertaken.

See the full details here.

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.