Market access for medical technologies is a challenging field. It includes co-existing frameworks of reimbursement (coding, payment mechanism tariffs), funding (post-reimbursement approval by payers) and health technology assessment (HTA). MTRC developed an analytical White Paper with a summary of key market access considerations in the largest European countries (England, France, Germany, Italy and Spain), including an overview of stakeholders, payment mechanisms, innovative payment schemes, funding, and the role of HTA.