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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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Regulations for stimulating digital care in the Netherlands

The use of new information and communication technologies can improve healthcare. The regulations in the brochure published by Zorg van Nu give an extra boost to the use of innovations so that care of the future becomes the care of today. The following schemes are described in the brochure:

  • Subsidy scheme for Promising Healthcare: this scheme makes it possible to obtain temporary financing for treatments that appear promising in terms of (cost) effectiveness, but are not yet reimbursed from the basic package, because the effectiveness has not yet been proven. The scheme allows parties to apply for funding for both the costs of care and the research costs
  • Innovation Impuls Handicapped Care: with expert help, healthcare providers can investigate which technological and e-health solutions are best for them. Also, learning networks are set up around themes related to care. The healthcare provider participates in such a network that is supervised by a leader
  • Seed capital scheme for start-ups - tender e-health: with the seed capital e-health scheme, investment funds are set up that invest in e-health techno start-ups. With an e-health application, they contribute to the self-management, self-care or self-reliance of patients or support of care professionals
  • Transformation funds from outline agreement Medical Specialist Care: the MSZ budgetary framework includes additional resources (the so-called transformation funds) with which health care insurers and care providers can make agreements about initiatives that contribute to the movement towards ‘Right Care on the Right Place’ (JZOJP)
  • Subsidy Scheme ‘Right Care on the Right Place’ (JZOJP). The scheme has two parts: financing process support to start and further develop local or regional partnerships for the delivery of integrated care and support and the possibility of hiring an external party that supports regional cooperation partners with the analysis and interpretation of data
  • Acceleration Program for Patient and Professional Information Exchange (VIPP) care (‘InZicht’): the acceleration program for information exchange for care (elderly care, care for the chronically ill and care for the disabled)
  • Acceleration Program for Patient and Professional Information Exchange (VIPP) General Practitioners: OPEN (Unlocking Patient Data from Primary Care in the Netherlands): general practitioners (practices) and primary care organizations are supported in making medical data digitally available
  • Acceleration Program for Patient and Professional Information Exchange (VIPP) Medical Specialist Care and Other Institutions for Medical Specialist Care. The program consists of two parts: data exchange with the patient and data exchange on medication between professionals and with the patient
  • Acceleration Program for Patient and Professional Information Exchange (VIPP) GGZ VIPP: a grant that is about giving patients better insight into their health, clarity in reporting, the exchange of data, increasing medication safety and stimulating e-health
  • Acceleration Program for Patient and Professional Information Exchange (VIPP) GGZ Private: private individual specialists are encouraged to make their files digitally accessible for patients in a standardized way
  • Acceleration Program for Patient and Professional Information Exchange (VIPP) birth care: BabyConnect. All birth care professionals in the chain are supported in making medical data digitally available to pregnant women and sharing this data between the professionals themselves. This applies from the desire to have children up to 6 weeks after the birth and transfer to youth health care
  • Incentive scheme e-health at home (SET): encourages scaling up and assurance of the use of existing e-health applications for the elderly and people with a chronic illness or disability who live at home. Subsidies are provided for activities related to the purchase and use of the e-health application
  • Challenge nursing homes: the challenge gives innovation in the nursing home sector a boost by paying attention to nursing homes that implement technological initiatives. This concerns structural innovative applications
  • Quality Budget Nursing Home Care: 15% of the funds from the coalition agreement of the quality budget for nursing home care can be spent extra on innovations and labor-saving measures
  • User Regulation Personal Health Environment: the user scheme is a temporary financing scheme for suppliers of a Personal Health Environment (PBL). The scheme makes it possible for every Dutch person who wants to choose and use a PBL free of charge

See full details in Dutch here.

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