Reimbursement

On March 31, 2021, the Order of the Ministry of Solidarity and Health on the 2021 DRG system was published in the Official Journal of the French Republic. The Order includes information on the 2021 updates of the DRG system, DRG tariffs, supplements for private and public hospitals, as well as the tariffs for specific packages (emergency treatment package, ATU; small equipment package, FFM; safety and hospital environment package, SE; administration package for pharmaceutical products, services, and specialties in a hospital environment, APE) applicable to the procedures performed in a hospital environment but without hospitalization, etc.

On March 22, 2021, NHS England published the final version of the 2021/22 NHS Standard Contract and associated documents, which took effect from April 01, 2021. NHS England mandates the NHS Standard Contract for use by commissioners for all healthcare services contracts other than primary care. Changes mainly concerned introducing new "Aligned Payment and Incentive" (API) rules proposed by the 2021/22 National Tariff Payment System.

According to the available financial results, published by the German Federal Ministry of Health, the German statutory health insurance companies reported a total deficit of around 2.65 billion euros in 2020. The health fund reported a deficit of 3.49 billion euros in 2020. As of January 15, 2021, the health fund's liquidity reserve was around 5.9 billion euros.

On March 17, 2021, the Evaluation Committee (Bewertungsausschuss) has decided to introduce two new EBM (German Uniform Evaluation Standard) codes related to prescription of health apps with retrospective effect from January 1, 2021.

On March 17, 2021, the Evaluation Committee (Bewertungsausschuss) has decided to introduce two new EBM (German Uniform Evaluation Standard) codes related to prescription of health apps with retrospective effect from January 1, 2021.

On March 22, 2021, the repository of innovative laboratory tests (RIHN) and the Supplementary list were published. No new codes for IVD tests have been introduced and no codes were removed in the new versions of catalogs.

In March 2021, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclature for private payers in England, has published Bulletins 0175 and 0072 with changes to be implemented not later than May 01, 2021. Six new procedure codes related to gynecology, capsule endoscopy, and intracranial stereotactic radiotherapy were introduced. No changes were made in diagnostic test coding.

On March 4, 2021, INAMI-RIZIV announced the development of a multi-year trajectory for the health care budget in which will define the allocation of resources for health care objectives for 2022-2024.

Starting April 2021, a significant change of the payment system for specialist care is expected in England. Most of the activity-based funding will be replaced by a blended payment model, including a fixed payment component and a variable component. All agreements will be made locally between commissioners and providers. This will be the next step towards abolishing activity-based (HRG-based) reimbursement according to the NHS Long-Term Plan.

On February 18, 2021, the updated List of Reimbursable Products and Services (LPPR) was published. It contains new devices included in the LPPR list in January-February 2021, as well as other modifications made during this period. The newly-included devices belong to the cardiovascular (TAVI), ENT (cochlear and brainstem implants), and diagnostic imaging (FFR) technology groups.

On March 1, 2021, the Technical Agency for Information on Hospitalizations (ATIH) published the preliminary version of the French DRG manual for 2021.

In the DRG system for 2021 (RZ21), the Dutch Healthcare Authority extended the ability to create innovative payment models via the "optional service" for the add-on reimbursement of some activities or devices that are not adequately covered existing DRG reimbursement.