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Cost-effective reimbursement analysis for medical technologies in Europe

Procedure coding, payment mechanism, reimbursement tariffs, policy, and HTA considerations in 34 EU countries

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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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Tariffs for medical telemonitoring activities released in France

On May 23, 2023, the Ministry of Health and Prevention published an Order in the Official Journal of the French Republic setting the tariffs for the medical telemonitoring activities covered by social health insurance in the context of the new framework.

The tariff per patient for the digital solution providers depends on the organizational or clinical value (impact on quality of life, morbidity, or mortality) that can be expected from the medical telemonitoring activity. The tariffs per patient, monthly and not cumulative, are the following for the firs 4,999 patients:

  • For an organizational benefit: €50 (including tax);
  • For a clinical benefit relating to the quality of life: €73.33 (including tax);
  • For a clinical benefit relating to morbidity: €82.50 (including tax);
  • For a clinical benefit relating to mortality: €91.67 (including tax).

The tariffs per patient reduce the more patients are involved in the particular telemonitoring activity. The tariffs are reviewed every six months and are adjusted according to quantities of patients involved.

The operator's (healthcare professionals delivering the service) tariffs are also determined by this Order.

See the details in French here

This news is just one of about 300 market access news collected by our team in the subscription services "HTA Alerts" and "Reimbursement Alerts" every two weeks from more than 80 organizations. Access our paid subscription services to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). Contact us to get a free, three-month, no-obligation trial.