Transcatheter Mitral Valve Repair Using Mitral Annulus Plication for Mitral Regurgitation - European Reimbursement Report

  • ID: 4243340
  • Report
  • Region: Europe
  • European Med Tech Reimbursement Consulting AB
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Ssential Information About Reimbursement and National Funding of the Transcatheter Mitral Valve Leaflet Repair Using Mitral Clips for Mitral Regurgitation

This report presents summary of the reimbursement situation for a transcatheter mitral valve repair using mitral annulus plication for mitral regurgitation. Procedure is used in situations of functional mitral regurgitation, when valves do not have any structural defects or degeneration. Plication is used to reduce size of annulus, which leads to alleviation of symptoms of mitral regurgitation.

The report includes essential information about reimbursement and national funding of the transcatheter mitral valve leaflet repair using mitral clips for mitral regurgitation, including:

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

Reimbursement information is provided for the following geographies:

  • Austria
  • Belgium
  • Denmark
  • England (UK)
  • France
  • Germany
  • Italy
  • Netherlands
  • Norway
  • Sweden
  • Switzerland
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1. Introduction and summary

2. Executive summary table

3. Contents

4. Methodology

5. Reimbursement analysis in Austria
5.1. Overview of the reimbursement system
5.2. Reimbursement for transcatheter mitral valve repair using plication of the mitral annulus

6. Reimbursement analysis in Belgium
6.1. Overview of the reimbursement system
6.2. Reimbursement for transcatheter mitral valve repair using plication of the mitral annulus
6.2.1. Procedure coding
6.2.2. Payment mechanism and reimbursement tariffs

7. Reimbursement analysis in Denmark
7.1. Overview of the reimbursement system
7.2. Reimbursement for transcatheter mitral valve repair using plication of the mitral annulus
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 transcatheter mitral valve repair using plication of the mitral annulus
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. Health technology assessment by NICE

9. Reimbursement analysis in France
9.1. Overview of the reimbursement system
9.2. Reimbursement for transcatheter mitral valve repair using plication of the mitral annulus

10. Reimbursement analysis in Germany
10.1. Overview of the reimbursement system
10.2. Reimbursement for transcatheter mitral valve repair using plication of the mitral annulus
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 transcatheter mitral valve repair using plication of the mitral annulus
11.2.1. Procedure coding at national level
11.2.2. Diagnosis coding
11.2.3. Payment mechanism and reimbursement tariffs at national level
11.2.4. Payment mechanism and reimbursement tariffs at regional level

12. Reimbursement analysis in the Netherlands
12.1. Overview of the reimbursement system
12.2. Reimbursement for transcatheter mitral valve repair using plication of the mitral annulus

13. Reimbursement analysis in Norway
13.1. Overview of the reimbursement system
13.2. Reimbursement for transcatheter mitral valve repair using plication of the mitral annulus
13.2.1. Procedure coding
13.2.2. Diagnosis coding
13.2.3. Payment mechanism and reimbursement tariffs

14. Reimbursement analysis in Sweden
14.1. Overview of the reimbursement system
14.2. Reimbursement for transcatheter mitral valve repair using plication of the mitral annulus
14.2.1. Procedure coding
14.2.2. Diagnosis coding
14.2.3. Payment mechanism and reimbursement tariffs
14.2.4. Policy considerations

15. Reimbursement analysis in Switzerland
15.1. Overview of the reimbursement system
15.2. Reimbursement for transcatheter mitral valve repair using plication of the mitral annulus
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

16. Disclaimer

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