In February 2018, the DFI (the Federal Department of Home Affairs) has decided to make a change in the activity order (Ordinanza sulle prestazioni, OPre) concerning “out-patient before in-patient.” The modification is coming into force starting January 1st, 2019. Six procedures will be reimbursed only in out-patient settings.

Apr 2018

Four innovations are selected for central funding by NHS England within Innovation and Technology Payment Program

NHS England has announced the selected technology for the central funding to accelerate access within NHS. These technologies include HeartFlow, Plus Sutures, Endocuff Vision and SecurAcath. This is the second year selection of the technology for the fast track innovation payment scheme in England.

Apr 2018

MTRC has released 8 European reimbursement reports for radiotherapy

Eight reimbursement reports with the total size of 882 pages cover the most common radiotherapy modalities including brachytherapy, 3D conformal radiation therapy, stereotactic radiosurgery, stereotactic body radiation therapy, intensity-modulated radiotherapy (IMRT), volumetric modulated arc therapy (VMAT), image-guided radiotherapy, proton therapy. The analysis covers procedure coding, payment mechanism, reimbursement tariffs and policy restrictions in 12 EU countries including Austria, Belgium, Denmark, England, Finland, France, Germany, Italy, the Netherlands, Norway, Sweden and Switzerland.

Apr 2018

Belgian INAMI has published updates to the List of reimbursable implants and medical devices in April 2018

New material codes for Ventricular Assist Device and Aortic Endoprotheses were added to the List of reimbursable devices of the Belgian National Institute for Health and Disability Insurance (INAMI-RIZIV) in April 2018.

Mar 2018

Eight new diagnostic codes were added to private reimbursement schedule in England in February 2018

The Clinical Coding and Schedule Development Group develops and maintains procedural and diagnostics nomenclature for private payers in England. In February new codes for genetic tests and immunological tests for infections were added to the CCSD Schedule.

Mar 2018

The DRG package for specialist medical care in 2019 is almost completed

The Dutch Healthcare Authority (Nederlandse Zorgautoriteit) has published a draft version of the DBC package for specialist medical care for 2019 (RZ19a).

Mar 2018

Thirty new procedure codes were added to private reimbursement schedule in England in February 2018

The Clinical Coding and Schedule Development Group develops and maintains procedural and diagnostics nomenclature for private payers in England. In February new codes for preparation and delivery of radiotherapy, knee resurfacing arthroplasty, balloon dilatation of the Eustachian tube and MRI-guided focused ultrasound (MRgFUS) thalamotomy for essential tremor were added to the CCSD Schedule.

Mar 2018

National institute for Sickness and Disability Insurance published the list of hospital facilities meeting the conditions of the List of reimbursable implants and invasive medical devices

In some cases, compulsory health care insurance reimburses an implant or an invasive medical device only if it is placed in a hospital that meets specific criteria.

Mar 2018

The French National Authority for Health (HAS) published new set of decisions about add-on reimbursement for medical devices in February

In February, HAS published a set of decisions about add-on reimbursement of medical devices that were evaluated by the National Commission for Evaluation of Medical Devices and Health Technologies (CNEDiMTS). These decisions concern cardiac pacemakers, devices for aortic root replacement, orthopedic devices (double mobility cups, porous high-density polyethylene implants) and other devices.

Feb 2018

Ten new diagnostic codes were added to private reimbursement schedule in England in January

The Clinical Coding and Schedule Development Group develops and maintains procedural and diagnostics nomenclature for private payers in England. In January new codes for Anti C1Q antibodies, soluble CD25, umbilical Cord Ph Level and several genetic tests were added to the CCSD Schedule.

Feb 2018

The DRG package for specialist medical care in 2019 is almost completed

The Dutch Healthcare Authority (Nederlandse Zorgautoriteit) has published a draft version of the DBC package for specialist medical care for 2019 (RZ19a).

Feb 2018

Four new procedure codes were added to private reimbursement schedule in England in January

The Clinical Coding and Schedule Development Group develops and maintains procedural and diagnostics nomenclature for private payers in England. In January new codes for robotic assisted laparoscopic pelvic lymphadenectomy, ligation of the intersphincteric fistula tract and eminectomy of temporomandibular joint were added to the CCSD Schedule.

Reimbursement

Six procedures are moved from hospital to out-patient settings in Switzerland

Four innovations are selected for central funding by NHS England within Innovation and Technology Payment Program

MTRC has released 8 European reimbursement reports for radiotherapy

Belgian INAMI has published updates to the List of reimbursable implants and medical devices in April 2018

Eight new diagnostic codes were added to private reimbursement schedule in England in February 2018

The DRG package for specialist medical care in 2019 is almost completed

Thirty new procedure codes were added to private reimbursement schedule in England in February 2018

National institute for Sickness and Disability Insurance published the list of hospital facilities meeting the conditions of the List of reimbursable implants and invasive medical devices

The French National Authority for Health (HAS) published new set of decisions about add-on reimbursement for medical devices in February

Ten new diagnostic codes were added to private reimbursement schedule in England in January

The DRG package for specialist medical care in 2019 is almost completed

Four new procedure codes were added to private reimbursement schedule in England in January

Company

Market access consulting

HEOR consulting

Billing/contracting