Combined Report for Minimally Invasive and Transcatheter Mitral Valve Repair and Replacement Procedures for Mitral Regurgitation - European Reimbursement Report

  • ID: 4243314
  • Report
  • Region: Global, Europe
  • European Med Tech Reimbursement Consulting AB
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Essential Information About Reimbursement and National Funding for Mitral Technologies

FEATURED COMPANIES

  • Cephea
  • Direct Flow Medical
  • Guided Delivery Systems
  • Medtentia (CathHELIX)
  • Medtronic (TMV)
  • Millipede
  • MORE

This report presents a summary of the reimbursement situation in Europe for all developed or currently under development minimally invasive (transapical approach via mini-thoracotomy) and transcatheter mitral valve repair and replacement procedures for mitral regurgitation.

Altogether, eight procedures are included into the report:

  • Minimally-invasive mitral valve repair with creation of artificial cordae tendonae for mitral regurgitation
  • Minimally-invasive reshaping of heart geometry for mitral regurgitation
  • Minimally-invasive replacement of mitral valve for mitral regurgitation
  • Transcatheter annuloplasty ring for mitral regurgitation
  • Transcatheter mitral annuloplasty using implant placed in the coronary sinus for mitral regurgitation
  • Transcatheter mitral valve leaflet repair using mitral clips for mitral regurgitation
  • Transcatheter mitral valve repair using mitral annulus plication for mitral regurgitation
  • Transcatheter mitral valve replacement

Report includes essential information about reimbursement and national funding for mitral technologies, including:

  • Brief overview of reimbursement system for medical devices
  • Procedure coding for mitral technologies
  • Diagnosis coding
  • Payment mechanism for mitral technologies
  • Reimbursement tariffs for mitral technology
  • Restrictions in indications or scenarios for use of mitral technologies
  • Policy considerations by payers and policy-makers about mitral technologies

Reimbursement information is provided for the following countries:

  • Austria
  • Belgium
  • Denmark
  • England (UK)
  • France
  • Germany
  • Italy
  • Netherlands
  • Norway
  • Sweden
  • Switzerland
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FEATURED COMPANIES

  • Cephea
  • Direct Flow Medical
  • Guided Delivery Systems
  • Medtentia (CathHELIX)
  • Medtronic (TMV)
  • Millipede
  • MORE

1. Introduction and summary

2. Executive summary table
2.1. Minimally invasive mitral valve repair with creation of artificial chordae tendonae
2.2. Minimally invasive replacement of mitral valve
2.3. Minimally invasive reshaping of heart geometry
2.4. Transcatheter annuloplasty ring
2.5. Transcatheter mitral annuloplasty using implant placed in the coronary sinus
2.6. Transcatheter mitral valve leaflet repair using mitral clips
2.7. Transcatheter mitral valve replacement
2.8. Transcatheter mitral valve repair using plication of the mitral annulus

3. Contents

4. Methodology

5. Reimbursement analysis in Austria
5.1. Overview of the reimbursement system
5.2. Reimbursement for mitral valve repair and replacement technologies
5.2.1. Procedure coding
5.2.2. Diagnosis coding
5.2.3. Payment mechanism and reimbursement tariffs
5.2.4. Health technology assessment by LBI-HTA
5.2.4.1. Percutaneous mitral valve interventions using a mitral clip
5.2.4.2. Transapical mitral valve-in-valve implantation

6. Reimbursement analysis in Belgium
6.1. Overview of the reimbursement system
6.2. Reimbursement for mitral valve repair and replacement technologies
6.2.1. Procedure coding
6.2.2. Material coding
6.2.3. Payment mechanism and reimbursement tariffs
6.2.4. Policy considerations
6.2.4.1. Reimbursement framework for transcatheter mitral valve leaflet repair using mitral clips determined by INAMI
6.2.4.2. Brand-specific reimbursement for mitral clip system

7. Reimbursement analysis in Denmark
7.1. Overview of the reimbursement system
7.2. Reimbursement for mitral valve repair and replacement technologies
7.2.1. Procedure coding
7.2.2. Diagnosis coding
7.2.3. Payment mechanism and reimbursement tariffs

8. Reimbursement analysis in England
8.1. Overview of the reimbursement system
8.2. Reimbursement for mitral valve repair and replacement technologies
8.2.1. Procedure coding
8.2.2. Diagnosis coding
8.2.3. Payment mechanism and reimbursement tariffs
8.2.4. Policy considerations
8.2.4.1. National commissioning by NHS England
8.2.4.2. National commissioning of percutaneous mitral valve leaflet repair for mitral regurgitation by NHS England
8.2.4.3. Health technology assessment by NICE

9. Reimbursement analysis in France
9.1. Overview of the reimbursement system
9.2. Reimbursement for mitral valve repair and replacement technologies
9.2.1. Procedure coding
9.2.2. Diagnosis coding
9.2.3. Payment mechanism and reimbursement tariffs
9.2.4. Brand-specific reimbursement for mitral clip system
9.2.5. Policy considerations
9.2.6. Coverage with evidence development
9.2.6.1. Transcatheter mitral valve leaflet repair using mitral clips for mitral regurgitation
9.2.6.2. Minimally invasive mitral valve repair with creation of artificial chordae tendonae for mitral regurgitation

10. Reimbursement analysis in Germany
10.1. Overview of the reimbursement system
10.2. Reimbursement for mitral valve repair and replacement technologies
10.2.1. Procedure coding
10.2.2. Diagnosis coding
10.2.3. Payment mechanism and reimbursement tariffs
10.2.4. Policy considerations

11. Reimbursement analysis in Italy
11.1. Overview of the reimbursement system
11.2. Reimbursement for mitral valve repair and replacement technologies
11.2.1. Procedure coding at national level
11.2.2. Procedure coding at regional level (Emilia-Romagna region)
11.2.3. Diagnosis coding
11.2.4. Payment mechanism and reimbursement tariffs at national level
11.2.5. Payment mechanism and reimbursement tariffs at regional level
11.2.6. Policy considerations

12. Reimbursement analysis in the Netherlands
12.1. Overview of the reimbursement system
12.2. Reimbursement for mitral valve repair and replacement technologies
12.2.1. Procedure coding
12.2.2. Material coding
12.2.3. Diagnosis coding
12.2.4. Payment mechanism and reimbursement tariffs
12.2.5. Policy considerations
12.2.6. Health technology assessment by National Healthcare Institute

13. Reimbursement analysis in Norway
13.1. Overview of the reimbursement system
13.2. Reimbursement for mitral valve repair and replacement technologies
13.2.1. Procedure coding
13.2.2. Diagnosis coding
13.2.3. Payment mechanism and reimbursement tariffs
13.2.4. Policy considerations

14. Reimbursement analysis in Sweden
14.1. Overview of the reimbursement system
14.2. Reimbursement for mitral valve repair and replacement technologies
14.2.1. Procedure coding
14.2.2. Diagnosis coding
14.2.3. Payment mechanism and reimbursement tariffs
14.2.4. Policy considerations
14.2.4.1. Recommendations for transcatheter mitral valve leaflet repair using mitral clips in the national clinical guidelines

15. Reimbursement analysis in Switzerland
15.1. Overview of the reimbursement system
15.2. Reimbursement for mitral valve repair and replacement technologies
15.2.1. Procedure coding
15.2.2. Diagnosis coding
15.2.3. Payment mechanism and reimbursement tariffs
15.2.4. Policy considerations
15.2.4.1. Restrictions for percutaneous interventional treatment of severe mitral valve insufficiency in the Health   Benefit List
15.2.4.2. The Swiss Mitraclip Registry

16. Disclaimer

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  • Abbott Vascular (MitraClip, Tendyne valve)
  • Caisson Interventional (Caisson Transcatheter Mitral Valve System)
  • Cardiac Dimensions (Carillon Mitral Contour System)
  • Cardiosolutions (Mitra-Spacer)
  • Cephea
  • Coramaze (Mitramaze system)
  • Direct Flow Medical
  • Edwards Lifesciences (SAPIEN XT valve, Cardioband, CardiAQ-Edwards Transcatheter Mitral Valve, Fortis transcatheter mitral valve)
  • Gorman Cardiovascular Research Group
  • Guided Delivery Systems
  • Harpoon medical (Harpoon Medical device)
  • HighLife (HighLife transcatheter mitral valve replacement device)
  • Mardil Medical (VenTouch System)
  • Medtentia (CathHELIX)
  • Medtronic (TMV)
  • Micro Interventional Devices (Permavalve)
  • Millipede
  • Mitralign (Mitralign Percutaneous Annuloplasty System)
  • MitrAssist
  • Mitre Medical (Mitral Touch)
  • MVRx (ARTO System)
  • NaviGate Cardiac Structures (NAVI System)
  • Neochord (NeoChord DS1000 System)
  • Neovasc (Tiara device)
  • Symetis
  • TransCardiac Therapeutics (MitraFlex system)
  • Transcatheter Technologies
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