Remote monitoring

In October 2025, the Dutch Healthcare Authority (NZa) published the updated version of the 2026 Guide, which describes the possibilities of funding digital care depending on the healthcare sector. The implemented changes included a Digital Care Helpdesk, reimbursement for "Technical variant" of care, "Collaborative advice" for specialists, and examples of joint Information and Communication Technology (ICT) procurement.

On September 22, 2025, the Spanish Ministry of Health launched a prior public consultation on the preliminary bill for the Law on Digital Health, which will regulate the use of big data, digital technologies, and emerging tools in healthcare and research. Among other things, it is expected that the Law will establish conditions for incorporating and financing digital health products such as apps, connected devices, or monitoring systems. Citizens and organizations can submit input via an online form until October 20, 2025.

On September 22, 2025, the final version of the document "Changes and innovations in the 2026 LKF model" was published. The main changes include the addition of 32 new procedure codes, the introduction of 19 procedure codes for billing in the day case settings, an update of case flat rates, and adjustments to the calculation of daily and procedural components per case. New procedure codes mainly concern e-health, endoscopy, interventional radiology, orthopedics, and pulmonology fields. No new DRGs were introduced, and two new provisional (NUB) codes were added.

In September 2025, the Dutch Organization for Health Research and Development (ZonMw) awarded eighteen projects under the first round of the Medical Specialist Care and Research program concerning e-health, endocrinology, gastroenterology, and interventional radiology areas.

On July 3, 2025, the UK Government published the 10 Year Health Plan for England as part of its mission to build a health service fit for the future. It sets out how the government will reinvent the NHS through three radical shifts - hospital to community, analogue to digital, and sickness to prevention. This transition will be supported by a new NHS operating model, improved transparency of care quality, a redesigned workforce model, innovation to power transformation, and a new financial foundation. Five transformative technologies will drive reform: data, AI, genomics, wearables, and robotics. Other MedTech-related initiatives include expanding NICE's technology appraisals to devices, diagnostics, and digital products and implementing the 'Innovator passport'.

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.

The Danish Health Data Authority quarterly updates the Health Care Classification System (SKS). The updated version was published in mid-September 2024 to come into force on October 1, 2024. Eight new medical procedure codes and one new code for diagnostic investigations were introduced concerning obstetrics and gynecology, extracorporeal treatments, spine, cardiovascular, e-health, diagnostic imaging, and some other fields.

In July 2024, the National Institute for Health and Care Research (NIHR) in England released five MedTech-related assessments in its Health Technology Assessment (HTA) Journal, which concerned cloud-based device (CaRi-Heart) for predicting cardiac risk, remote continuous monitoring of Parkinson's disease, home-monitoring for neovascular age-related macular degeneration, treatment of pilonidal sinus disease, and cystatin C in glomerular filtration rate-estimating. 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.

In the second quarter of 2024, the Dutch Healthcare Institute (ZIN) published four coverage positions on proton therapy in testicular cancer, pulmonary artery pressure remote monitoring in chronic heart failure and neuromodulation in polyneuropathy with positive recommendation for coverage under basic insurance package, and on physiotherapy and exercise therapy in primary care settings for lower back pain, which was not recommended for coverage under the basic insurance package.

On June 10, 2024, the National Agency for Regional Health Services (AGENAS) announced an online public consultation on the draft of the “Guidelines on the Evolutionary Pathway of Medical Systems for Telemonitoring”.

The HTA body of the Tuscany Regional Healthcare issues three types of documents: full HTA reports, rapid HTA reports, and motivational forms. With regional decree 8521 of April 19, 2024, Tuscany Regional Healthcare published three reassessments of medical devices in the cardiovascular, peripheral vascular, and e-health areas.

In February 2024, the Basque Office for Health Technology Assessment (OSTEBA) is working on several HTAs, including evaluations in the cardiovascular, e-health, ENT, IVD, and some other fields.