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Reimbursement strategy

Cost-effective market access strategy for medical technologies in Europe

A holistic approach to reimbursement strategies trusted by global market leaders and SMEs

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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
AV graft
Balloon kyphoplasty
Bariatric surgery
Baroreflex activation therapy
Barrett’s oesophagus
Belgium
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Bone Conductive Hearing Device
Breast reconstruction
Bronchial thermoplasty
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Carbon ion therapy
Cardiac ablation
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Cardiac Resynchronization Therapy Defibrillator (CRT-D)
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Chronic obstructive pulmonary disease
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Conditional reimbursement
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Continuous glucose monitoring (CGM)
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Coronary percutaneous revascularization procedures
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Coverage with evidence development (CED)
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Regular update of the List of reimbursable devices and Nominative Lists in Belgium

On June 8, 2023, Belgian National Institute for Health and Disability Insurance (INAMI-RIZIV) published an updated List of reimbursable devices and Nominative Lists of brands to come into force on July 1, 2023.

Three new material codes concerning cardiovascular and spinal procedures with the corresponding conditions were added to the List of reimbursable devices. An example of a new code is 184214 - 184225 “Biological valve made from animal pericardium with proven reduced calcification of the valve leaflets, implanted in the aortic position”.

Several new branded devices were registered on the Nominative Lists connected to new and already existing material codes.

See more information in French here and Dutch 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.

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The latest related news

17
Dec 2024

Remote monitoring of patients with chronic heart failure will be reimbursed in Belgium

In December 2024, the National Institute for Health and Disability Insurance (INAMI/RIZIV) launched a new agreement (Convention) allowing reimbursement for remote monitoring of patients with chronic heart failure. It will come into force on January 1, 2025. New codes (pseudonomenclature) with fees for packages of care will be used for reimbursement. The packages include monitoring of clinical parameters by patients at home (e.g., blood pressure measurement or pulmonary artery pressure measured by an implanted sensor) and transmission of data via a health app to the remote monitoring team at the hospital.
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16
Oct 2024

Intra-DRG list updated in France

In October 2024, the updated version of the intra-DRG list was published in France. Three new devices were registered in the cardiovascular and neurovascular fields. Furthermore, one device was removed from the list, and the registration conditions for several devices were changed.
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28
Aug 2024

Integrated Care Program for pregnant women launched in Belgium

In August 2024, the National Institute for Health and Disability Insurance (INAMI/RIZIV) announced the national implementation of the first Integrated Care Program as part of the Intrafederal Plan: care and support for pregnant women, children, and their families during their first 1000 days. Four new INAMI-RIZIV pseudo-nomenclature codes with fees were introduced to cover the key activities within the program.
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12
Aug 2024

Permanent reimbursement for next-generation sequencing (NGS) in oncology launched in Belgium

On July 1, 2024, the National Institute for Health and Disability Insurance (INAMI/RIZIV) introduced a new agreement (Convention), which allows permanent reimbursement for molecular biology tests by next-generation sequencing (NGS) in oncology and hemato-oncology. The tests were reimbursed temporarily in the context of the pilot Convention from 2019. Fifty-one new pseudo-nomenclature codes with tariffs were introduced. The pseudocode descriptions specify the indication, while certain biomarkers and reimbursement conditions are mentioned as notes to the code.
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