Reimbursement and HTA Submissions

The ultimate step in establishing market access is achieved by making reimbursement or HTA applications to authorities.

In DRG-based countries, the reimbursement process includes the creation of a specific procedure code and a subsequent application for the creation of a new DRG or re-grouping of the procedure in scope to another existing DRG. The creation of an appropriate DRG tariff helps to secure sufficient reimbursement and funding for hospitals and supports the adoption of novel medical technologies.

Reimbursement applications are made by clinical societies or physicians (hospital administrators). However, the development of the application takes time and often requires specialized expertise and coordination with data collection between several clinics. Physicians and key opinion leaders often do not have time to develop a proper application.

Health technology assessment or coverage (e.g. in Hungary) applications typically require a comprehensive systematic review of clinical effectiveness and safety, health economic evaluation (cost-effectiveness, budget impact analysis) adapted to the specifics of the country, specific search for country-specific epidemiological and regulatory data.

MTRC provides support with the development of reimbursement and HTA applications in the Nordic region, England, and other selected geographies. Reimbursement submissions in other geographies are performed by our local partners.

Scope of reimbursement and HTA submissions

Reimbursement and health technology assessment dossiers in other European countries are developed by our local partners.

Denmark

Application for creation of a new procedure (SKS) code, DRG change (dkDRG)

Finland

Application for creation of a new procedure (THL) code, DRG change (NordDRG)

Norway

Application for creation of a new procedure (NKPK) code, DRG change (NordDRG); HTA submission within the “New Methods” framework

Sweden

Application for creation of a new procedure (KVÅ) code, DRG change (NordDRG); HTA submission within the “Orderly introduction of medical technologies” framework

United Kingdom

HTA submission to NICE (Medical Technologies Evaluation Program, Diagnostic Assessment program)

United Arab Emirates (UAE)

Health technology assessment (HTA) submission for “New health Technology and New therapeutic practices” to Department of Health - Abu Dhabi

Why partner with MTRC?

Be confident in the results

We are accredited by the United Kingdom Accreditation Service (UKAS) as an ISO 9001:2015 certified vendor, specialised in medical technologies market access. Unlike many of our competitors, we dedicate 100% of our time and focus to the area of medical technologies, so that our clients enjoy higher quality services at a lower cost. We are also probably the largest Med Tech market access consultancy in Europe, which helps us accumulate unique knowledge and insights. MTRC is a proud member of ABHI, the UK’s leading industry association for health technology (HealthTech)

Avoid the hassle of working with multiple vendors

We specialize in Pan-European projects and worked in 20 countries in Europe. You can save time, effort and money by working with a single experienced vendor vs contracting several consultants individually.

We provide support in Austria, Belgium, the Czech Republic, Denmark, England, Finland, France, Germany, Hungary, Ireland, Italy, the Netherlands, Norway, Poland, Portugal, Romania, Spain, Sweden, Switzerland

Spend less on consulting

We understand the budgetary challenges of the med tech industry and can therefore offer a cost-effective approach to our specialised services. Twelve percent (12%) of our current business comes from small to medium-sized enterprises (SMEs) – a testament to our unique and personal approach to solve your budgetary challenges

Direct access to senior leadership

Small enough to ensure significant personal attention, and large enough to address your needs, our boutique consultancy guarantees that each project enjoys the attention it deserves with direct access to our senior leaders

Make decisions and advance your business quickly

We appreciate the time-sensitive nature of market access. Being a flexible team, we are not afraid to go beyond regular working hours to meet the high expectations of our clients. For every type of project, we offer the shortest possible turnaround times

Geography of our projects

MTRC is a provider of multi-country European projects. We have worked on the projects in 20 European countries

Get insights from MTRC free analytical reports

Explore free MTRC analytical reports and white papers for in-depth insights into the challenges of reimbursement and HTA submissions for medical technologies in Europe