On November 7, 2023, the annual update of the Swedish NordDRG system was published to come into force on January 1, 2024. A total of 16 new DRGs will be implemented concerning ENT, radiology, and primary care.

On October 26, 2023, the BfArM (Federal Institute for Drugs and Medical Devices) published the final version of the 2024 OPS procedure coding classification. The OPS, together with the ICD-10-GM (International Statistical Classification of Diseases and Related Health Problems, 10th revision, German Modification), forms the basis for the reimbursement systems in outpatient and inpatient care in Germany.

On October 29, 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 within the early digital support scheme. The tariffs are set per patient based on the number of patients involved.

In October 2023, the National Institute for Health and Care Research (NIHR) in England released one MedTech-related assessment in its Health Technology Assessment (HTA) Journal concerned posterior cervical foraminotomy versus anterior cervical discectomy for cervical brachialgia. HTA Journal publishes research reports on the effectiveness, costs, and broader impact of health technologies for those who use, manage, and provide care in the NHS and informs National Institute for Health and Care Excellence (NICE) guidance.

On November 1, 2023, thirteen new procedure codes came into force in the updated Finnish classification of procedures (THL). The introduced codes concerned diagnostic imaging, radiology, neurology, peripheral vascular, and other fields.

The French National Authority for Health (HAS) released new recommendations about add-on reimbursement of medical devices and medical aids from the meetings of the National Commission for Evaluation of Medical Devices and Health Technologies (CNEDiMTS) in October 2023. Twelve recommendations were published in relation to the registration of medical devices in the List of reimbursable products and services (LPPR). Opinions concern cardiovascular, e-health, endocrine, gastrointestinal, neurology and neurosurgery, neuromodulation, and orthopedic devices, as well as medical aids.

In October 2023, the annual update of the Swedish procedure coding system (Classification of Health Care Measures, KVÅ) was released to come into force on January 1, 2024. A total of 70 new surgical procedure codes and 17 new medical procedure codes were introduced concerning endoscopy, ENT, men’s health, nephrology and urology, peripheral vascular, and spine.

In October 2023, the National Institute for Health and Care Excellence (NICE) published two new Interventional Procedure Guidance (percutaneous deep venous arterialisation, vaginal transluminal endoscopic hysterectomy and adnexal surgery) and two Health Technology Evaluations using early value assessment (digital technologies for delivering specialist weight-management services, virtual ward platform technologies for acute respiratory infections). Also, one new clinical guideline was published, and eight were updated.

On October 20, 2023, the Spanish Ministry of Health announced that a budget of 130 million euros was allocated to support the upcoming launch of the Personalized Digital Care Plan. Healthcare digitalization is already a well-established reality that materialized into the Digital Health Strategy with more than 800 million euros budget allocated since 2021 after the COVID-19 pandemic.

In October 2023, the Belgian National Institute for Health and Disability Insurance (INAMI-RIZIV) introduced an updated application procedure for the List of implants and invasive medical devices, including a new application form. The new form is organized according to the PICO (Population-Intervention-Comparator-Outcome) principle.

In October 2023, the Dutch Healthcare Authority (NZa) published a policy rule that defines the amount for academic care contribution and the rules for its allocation in 2024. The policy rule aims to determine the reimbursement for costs that arise for certain healthcare providers because they permanently maintain facilities (staff and infrastructure) that enable them to provide highly specialized and innovative care linked to fundamental patient-centered research.

On October 18, 2023, the Austrian Federal Ministry of Social Affairs, Health, Care and Consumer Protection (BMSGPK) announced that its budget would increase by 3.9 billion to 25.8 billion euros (by 18%) in the coming year. 1.1 billion euros from the budget will be allocated for the health care reform, which will be implemented as part of the financial equalization.