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Reimbursement strategy

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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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3D printed implants
Ablation methods
Allogeneic mesenchymal stem cells
Ambulatory ECG monitoring
Aortic abdominal aneurysm
Aortic root replacement
Arthroplasty
Arthroscopy
Assisted ventilation
Atherectomy
Austria
Autologous chondrocyte implantation
Automated external defibrillator
AV fistula
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Balloon kyphoplasty
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Baroreflex activation therapy
Barrett’s oesophagus
Belgium
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Bone Conductive Hearing Device
Breast reconstruction
Bronchial thermoplasty
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Cardiac ablation
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Cardiac Resynchronization Therapy Defibrillator (CRT-D)
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Chronic obstructive pulmonary disease
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Clinical guidelines
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Commissioning
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Conditional reimbursement
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Continuous glucose monitoring (CGM)
Coronary interventions
Coronary percutaneous revascularization procedures
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Timelines for 2024 applications for DRG changes in Switzerland announced

On January 3, 2024, the entity managing the DRG system in Switzerland, SwissDRG, announced that they will be accepting applications for changes in the DRG system from June 3, 2024, until July 15, 2024. The application form itself will be available to the registered users on April 1, 2024.

The results of the DRG applications made in 2024 will be reflected in the 2026 version of SwissDRG and must refer to the 2023 CHOP procedure codes and ICD-10-GM diagnosis codes. 

See the full details here.

This news is just one of about 300 market access news collected by our team in the premium subscription service Market Access Monitor every week from more than 80 organizations. Access our paid service to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). Access is organized as an online Database and email alert formats. Contact us to get a free, three-month, no-obligation trial.

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The latest related news

11
Dec 2024

2025 Swedish NordDRG system released

In November 2024, the annual update of the Swedish NordDRG system was published to come into force on January 1, 2025. No new DRGs were introduced. In 2025, to obtain DRG tariffs, cost-weights must be multiplied by a base rate of 88,061 SEK.
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05
Dec 2024

Updates in the coverage of medical services in Switzerland in 2025

On December 2, 2024, the Swiss Federal Office of Public Health published the changes that will occur to the Healthcare Benefit Ordinance (KLV/OPre), which determines coverage of medical services in Switzerland. The updates will enter into force on January 1, 2025, and they relate to the list of explicitly evaluated services (Annex 1 of KLV/OPre), outpatient-before-hospital services (Annex 1a), List of Tools and Equipment (Annex 2), and the List of Analyses (Annex 3).
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04
Dec 2024

Recommendations about add-on reimbursement for medical devices in France in November 2024

The French National Authority for Health (HAS) released new recommendations about add-on reimbursement of medical devices and medical aids from the November 2024 meetings of the National Commission for Evaluation of Medical Devices and Health Technologies (CNEDiMTS). Two recommendations were published concerning the registration of new medical devices in the List of Reimbursable Products and Services (LPPR). Opinions were related to breast reconstruction and medical aids.
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28
Nov 2024

The DRG tariffs for 2025 released in Denmark

On November 12, 2024, the Danish Health Data Authority published the DRG tariffs for 2025. In accordance with the released documentation, four new DRGs in the fields of radiology, dermatology, and the treatment of functional disorders will be introduced in 2025.
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