Reimbursement

On July 3, 2025, the UK Government published the 10 Year Health Plan for England as part of its mission to build a health service fit for the future. It sets out how the government will reinvent the NHS through three radical shifts - hospital to community, analogue to digital, and sickness to prevention. This transition will be supported by a new NHS operating model, improved transparency of care quality, a redesigned workforce model, innovation to power transformation, and a new financial foundation. Five transformative technologies will drive reform: data, AI, genomics, wearables, and robotics. Other MedTech-related initiatives include expanding NICE's technology appraisals to devices, diagnostics, and digital products and implementing the 'Innovator passport'.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Sustainability Publications Digest. In a recent publication, Eidmann et al. assessed the carbon emissions from eight orthopedic surgical procedures in Germany, utilizing the Greenhouse Gas Protocol.

On July 1, 2025, the National Institute for Health and Disability Insurance (INAMI/RIZIV) updated Nomenclature to recognize the new professional title "orthopedic technologist", replacing the former specialties of "bandaging specialist" and "orthotist". Two Articles were repealed, and three new Articles have been introduced, detailing reimbursement for services in bandagery, orthotics, prosthetics, and orthopedic footwear services.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, Mamiya et al. conducted a systematic review to examine how productivity gain or loss is measured in health economic evaluations, aiming to identify the most widely used instruments and their properties.

On July 1, 2025, the revised EBM (German Uniform Evaluation Standard) catalog for the third 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 for the reimbursement of transmitters for telemonitoring and telemedical monitoring of implantable cardiac devices, as well as codes for the services provided within the co-funded study on low-dose pulsed ultrasound for pseudarthrosis.

MTRC is pleased to present the 2025 European MedTech Market Access Playbook - your annual, refresh‑and‑reuse roadmap to every EU reimbursement deadline.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Publications Digest. In a recent publication, Heeg et al. proposed a systematic framework to define biologically and clinically plausible survival extrapolations, addressing inconsistencies in current health technology assessments (HTA).

MTRC is pleased to announce the release of its latest White Paper: “Case study: Market Size Analysis for Mechanical Intracranial Thrombectomy in Europe”. The report highlights the role of procedure and diagnosis coding data in evaluating market size and demonstrates the methodologies of how the administrative databases from multiple European countries – the French CCAM, German OPS and Spanish CIE-10-ES – can be used to quantify real-world procedure volumes, characterize types of devices used and with that potential reimbursement pathways for the new technology.

On June 30, 2025, NHS England released a draft summary of core changes between OPCS-4.10 and OPCS-4.11, a procedure coding classification updated every three years. Multiple changes are proposed, including 64 new three-character (category) codes and 568 new four-character (subcategory) codes. The final summary is scheduled for publication on November 1, 2025, with OPCS-4.11 set to take effect on April 1, 2026.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Sustainability Publications Digest. In a recent publication, Thöne et al. performed a comparative life-cycle assessment of single-use and reusable flexible ureterorenoscopes to quantify their greenhouse gas emissions and health impacts within a German hospital setting. The study demonstrated that reusable devices are associated with nearly four times fewer greenhouse gas emissions and lower Disability-Adjusted Life Years per intervention than single-use instruments. These findings underscore that medical device choices can have substantial environmental and health impacts, supporting a shift toward more sustainable healthcare solutions.

In the first and second quarters of 2025, the Dutch Healthcare Institute (ZIN) published three coverage positions concerning the ENT, gastrointestinal, and in-vitro diagnostic fields. Two of the three decisions (Internal nasal valve correction for airway blockage and molecular diagnostics of the NTRK gene fusion in cancer patients) received favorable recommendations for coverage under basic health insurance.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Health Economic Publications Digest. In a recent publication, Donovan et al. introduced Cost-IS, a tool designed to estimate the costs of implementing digital health solutions. Its development involved a modified e-Delphi process with 12 experts, who reached consensus on its core design and components. However, consensus was lacking regarding the required user knowledge, how specific the tool should be for digital health, and its digital availability. The authors concluded that further testing is needed to establish the tool’s feasibility in real-world settings.