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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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Proton therapy in gastrointestinal indications will not be reimbursed in hospital settings in Germany

On September 16, 2021, the Federal Joint Committee (G-BA) has decided that it would not evaluate the proton therapy in a number of indications, including esophageal cancer and inoperable hepatocellular carcinoma (HCC).

Therefore, the method of proton therapy in the abovementioned indications will be removed from Annex II “Methods whose evaluations are paused” of the G-BA Directive “Methods of examination and treatment in hospital settings” and will not be reimbursed. Annex II of the abovementioned Directive includes the methods whose evaluations are paused due to planned ongoing studies with reimbursement provided during this time. The G-BA decision will come into force on the day of the publication in the Federal Gazette.

The full details in German can be found here.

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