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Evidence gap analysis

Strategic analysis of the sufficiency of evidence to obtain reimbursement and HTA approval in Europe and recommendations about evidence generation

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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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New versions of NABM nomenclature released in France

The NABM Nomenclature serves as the primary and permanent reimbursement catalog for in-vitro diagnostic tests covered under statutory health insurance in France.

In March 2025, two updated versions of the Nomenclature of Medical Biology Procedures (NABM 95 and 96) were released. While no new codes were introduced, the updates include the removal of one code and adjustments to the reimbursement tariffs (coefficient B rating) for several existing codes.

See the details in French here (NABM) and here (Order on NABM v.95 changes) and here (Order on NABM v. 96 changes)

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.

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The latest related news

18
Apr 2025

The decision regarding new CCAM procedure codes published in France

On April 8, 2025, the National Union of Health Insurance Funds issued an update to the Common Classification of Medical Procedures (CCAM), which serves as a reimbursement nomenclature for medical procedures in hospital and ambulatory settings. Changes include the introduction of new procedure codes, provisional registration of several procedure codes, and modification of existing services. Newly introduced procedure codes concern cardiovascular and peripheral vascular procedures, interventional radiology, ENT, and others. The update takes effect on July 1, 2025.
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16
Apr 2025

2025/26 NHS Payment Scheme released in England

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.
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15
Apr 2025

The revised EBM catalog for the second quarter of 2025 published in Germany

On April 1, 2025, the revised EBM (German Uniform Evaluation Standard) catalog for the second quarter of 2025 came into force. The main changes introduced concern updates of the contents (services legends, preambles of several EBM subchapters) and the introduction of new EBM codes related to follow-up and evaluation of another reimbursable health app and second-opinion consultations.
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14
Apr 2025

Draft Order amending the Common Package of Benefits of the Spanish National Health System

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