In March 2023, the Dutch Healthcare Institute (Zorginstituut Nederland, ZIN) announced two more projects which received a subsidy under the "Subsidy scheme for promising care" in 2023 for research of focal therapy in intermediate risk prostate cancer and repetitive transcranial magnetic stimulation in paresis due to the cerebral infarction or cerebral hemorrhage.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Publications Digest. In a recent publication, Mantovani et al. reviewed the current regulatory and reimbursement approaches adopted for digital therapeutics (DTx) and in-vitro diagnostics (IVDs) in the US, Europe, and Australia. In Europe, authors offer an overview of reimbursement pathways in France, Germany and the United Kingdom for digital and in-vitro diagnostic technologies.

In late March 2023, NHS England released the 2023/25 NHS Payment Scheme (NHSPS) to come into force on April 1, 2023. NHSPS has been set for two years, replacing the National Tariff Payment System (published annually). The NHSPS specifies payment conditions for NHS-funded secondary care.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Publications Digest. In a recent publication, Ibargoyen-Roteta et al. summarized the main initiatives in relation to Early Dialogue/Scientific Advice/Early Advice given by international HTA bodies to manufacturers of medical technologies. In relation to medical technologies, the authors reviewed early dialogue frameworks of NICE (UK), Health Technology Wales and HAS (France).

In late March 2023, the Norwegian Directorate of e-Health released an updated version of the National Laboratory code (NLK) system and associated tariffs for state and private laboratories to be implemented no later than May 1, 2023. Twenty-one new codes were added, 122 codes were changed, and one code was terminated.

In late March 2023, NHS England released an annual update of HRG4+ Local Payment Grouper for 2023/24, to come into effect on April 1, 2023. No new HRGs were added. The HRG design has been updated to accommodate the latest version of procedure coding classification (OPCS-4.10).

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Publications Digest. In a recent publication, Boriani et al. evaluated the status of the implementation of remote monitoring of cardiac implantable electrical devices. Among other topics, the study provides a useful overview of the reimbursement situation with remote monitoring of cardiac implants in Europe.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Publications Digest. In a recent publication, Ferrante et al. reviewed methodological approaches from seven HTA organizations, which perform assessments of diagnostic tests and compared approaches with non-diagnostic test HTAs. With the exception of dealing with test accuracy data, approaches were largely based on general approaches to HTA with few test-specific modifications. Elucidation of test claims and attitude to direct and indirect evidence were the areas where authors identified the biggest dissimilarities in approach.

In March 2023, two more health apps were introduced in the Directory of digital health applications (DiGAs) at the Federal Office for Drugs and Medical Devices (BfArM) and thus became reimbursable. These apps can be prescribed by physicians and psychotherapists and will be reimbursed by sickness funds.

On March 22, 2022, the entity managing the DRG system in Switzerland, SwissDRG, announced that they will be accepting applications for changes in the DRG system from June 5, 2023, until July 17, 2023. The results of the DRG applications made in 2023 will be reflected in the 2025 version of SwissDRG.

On March 17, 2023, the French National Authority for Health (HAS) published an update on its recommendations for techniques to be used within the organized breast cancer screening. HAS recommends introducing mammography by tomosynthesis in association with the reconstruction of a synthetic 2D image.

MTRC shares the most relevant and impactful publications in the field of market access and HEOR for medical technologies in Europe through its Publications Digest. In a recent publication, Trippoli et al. examined the sufficiency of DRG tariffs for medical procedures and devices in Italy. The analysis included 24 class III or implantable devices. Authors discovered a large variability in the ratios between device price and DRG associated with its use. This ratio ranged from a minimum of about 3% in the case of the Hyalobarrier gel for post-surgical adhesion to a maximum of 132% in the case of the Neovasc Reducer, a device indicated in the narrowed coronary sinus.