Reimbursement

In October 2025, the Dutch Healthcare Institute (ZIN) published the plan for implementing the program, “Reimbursement within Research,” which allows temporary reimbursement under basic health insurance during the research period for existing medical specialist care and medical devices with limited evidence of effectiveness. The Minister of Health, Welfare, and Sport will consider the ZIN implementation plan and decide whether to initiate the program. If the decision is positive, the program's launch is expected in the fourth quarter of 2025.

On October 21, 2025, the French National Authority for Health (HAS) issued positive opinions on the inclusion of targeted next-generation sequencing-based panels for patients with multiple myeloma and lung cancer in the NABM Nomenclature for regular reimbursement. Currently, these tests are temporarily reimbursed within the innovative payment scheme (RIHN). These HAS assessments are performed as a part of the RIHN reform and ‘cleaning up’ the List of temporarily covered tests.

On November 5, 2025, the Swiss Federal Council approved a set of adjustments and additions to the new comprehensive outpatient tariff system, which comprises TARDOC and the outpatient flat rates. The implementation of changes before the system's launch on January 1, 2026, was requested by the tariff partners in July 2025. The adjustments primarily affect emergency services, oncology, wound care, and pathology.

The French National Authority for Health (HAS) released new recommendations on the registration of medical devices and medical aids in the List of Reimbursable Products and Services (LPPR) following the October 2025 meetings of the National Commission for the Evaluation of Medical Devices and Health Technologies (CNEDiMTS). Seven favourable opinions were issued concerning add-on reimbursement for medical devices in the neuromodulation and interventional radiology fields.

In October 2025, the Norwegian Directorate of Health released a preliminary version of the DRG system (Innsatsstyrt finansiering, ISF) for 2026. In general, no significant changes were made in the system. Two new DRGs will be added in 2026 concerning cell therapy and radiotherapy.

On October 18, 2025, the Decision of the National Union of Health Insurance Funds (UNCAM) on the update of the list of procedures and services covered by the Health Insurance, including the CCAM Classification, was published. The updates do not include new codes and concern adjustments of tariffs and billing rules for conventional radiology procedures. The Decision also implements the update of technical packages for CT scanners, MRIs, and PET scans set by the Medical Convention.

On October 8, 2025, the Federal Cabinet approved the draft of a law to adapt the hospital reform. The fundamental objectives of hospital reform remain preserved. Nevertheless, to ensure comprehensive healthcare coverage, additional exemptions and opportunities for cooperation will be introduced for hospitals, allowing the federal states greater flexibility in hospital planning.

The updated German Uniform Evaluation Standard (EBM) catalog came into force on October 1, 2025. The EBM catalog regulates the reimbursement of services in the public outpatient sector in Germany and is updated once a quarter (four times a year). Among other changes, a new code for the “ProHerz” health app was introduced.

The French National Authority for Health (HAS) released new recommendations on the registration of medical devices and medical aids in the List of Reimbursable Products and Services (LPPR) following the September 2025 meetings of the National Commission for the Evaluation of Medical Devices and Health Technologies (CNEDiMTS). Four favourable opinions were issued concerning add-on reimbursement for medical devices in the cardiovascular, peripheral vascular, interventional radiology, and spine fields.

On September 17, 2025, the National Association of Statutory Health Insurance Physicians (KBV) and the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband) announced that they had reached an agreement in financing negotiations concerning outpatient care.

On September 10, 2025, the French National Authority for Health (HAS) published its evaluation principles for the reimbursement of digital medical devices via the list of medical telemonitoring activities (LATM) and advanced reimbursement for therapeutic and telemonitoring digital medical devices (PECAN). The HAS has also updated evaluation principles for reimbursement of medical devices for individual use via the List of Reimbursable Products and Services (LPPR), Intra-DRG (Intra-GHS) List, and transitional support (PECT).

In August 2025, the Dutch Healthcare Institute (ZIN) published the report called “Assessment Framework for Feasibility of Care”. It explains how ZIN determines and assesses the feasibility of interventions when deciding on coverage within the basic health insurance.