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Global Trends in Reimbursement of Medical Technology

Informa Healthcare
August 1, 2007
142 Pages - SKU: IFHC1693901

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Countries covered: Global

Make sure you understand global reimbursement mechanisms and maximise the market potential for your products.

Reimbursement mechanisms for medical technology are complex, with different systems applicable to private and public healthcare, different product categories and even different regions of the same country also, countries are reforming and restructuring their healthcare provision. Often reimbursement is used politically as a means of price curbing and slowing access to the latest technology, which leads to frequent overhauls of the systems in an attempt at achieving the best value for money.

These factors mean that for a medical technology company to be successful, it must devote significant time and resources to keeping abreast of the latest developments and devising strategies to best address the requirement

This report will help you:

Analyse the role of clinical and economic data in obtaining reimbursement
Understand the importance of technology assessment, allowing you to maximise the chances of overcoming reimbursement hurdles and prepare a successful market entry strategy
Plan your reimbursement strategy for all the main markets for your product
Save time and money by avoiding the pitfalls of each reimbursement system
Stay ahead of your competitors by understanding the likely effect of recent and upcoming legislation
Learn from the experiences of experts who have many years’ experience in reimbursement

In-depth country analysis

Provides in-depth country profiles for the US, Japan, China, Germany, France, the UK, Italy and Spain; for each country analysed, the report will focus on:

Overview of the healthcare system
Reimbursement and pricing system
Medical device registration requirements
Timing of reimbursement actions
Procurement practices and types of tenders
Case studies
Postmarket and surveillance requirements
Key contacts

CHAPTER 1 GAINING REIMBURSEMENT IN THE US: 1.1 The US health environment: a medical device perspective; 1.2 Payers; 1.3 The influencers and advocates; 1.4 Providers; 1.5 Reimbursement; 1.6 Coverage; 1.7 Codes; 1.8 Payment: Systems under pressure; 1.9 Integrating reimbursement activities into a business plan
CHAPTER 2 GAINING REIMBURSEMENT IN EUROPE: 2.1 Introduction; 2.2 The European medical devices market; 2.3 Commonalities to some reimbursement systems; 2.4 Reimbursement strategies; 2.5 Gaining reimbursement in France
CHAPTER 3 GAINING REIMBURSEMENT IN GERMANY: 3.1 Introduction; 3.2 Gaining reimbursement in Italy; 3.3 Gaining reimbursement in Spain; 3.4 Gaining reimbursement in the UK
CHAPTER 4 GAINING REIMBURSEMENT IN JAPAN: 4.1 Introduction - the Japanese healthcare system; 4.2 Healthcare funding in Japan; 4.3 Characteristics of the Japanese market - market size and demographics; 4.4 Overview of the Japanese regulatory environment; 4.5 The pricing and reimbursement system in Japan; 4.6 Postscript
CHAPTER 5 GAINING REIMBURSEMENT IN CHINA: 5.1 Introduction; 5.2 The health insurance system; 5.3 Chinese market demographics and market size; 5.4 Pricing and reimbursement of medical devices; 5.5 Major healthcare reform; 5.6 The Chinese medical device market; 5.7 Key contacts in China
LIST OF TABLES: Table 1.1: Sites of service categories; Table 1.2: Reimbursement analysis for new medical devices; Table 1.3: Codes application timeline; Table 2.1: Patient grouping systems of selected countries; Table 3.1: Regional DRG reimbursement in Italy 2004; Table 3.2: Products in Annex I or Annex II of Royal Decree 9/1996; Table 4.1: Japanese medical device classification system and regulatory clearance requirements; Table 4.2: Japanese terminologies for regulated devices; Table 4.3: List of medical devices subject to regulation; Table 4.4: Premium price criteria
LIST OF FIGURES: Figure 1.1: Payer mix US: Personal healthcare expenditures by source of funds: selected years 1960-; Figure 1.2: US National Coverage Determination Process; Figure 1.3: Guidelines for new technology payments; Figure 2.1: EU procurement process under the restricted award procedure; Figure 2.2: Submission of reimbursement application; Figure 3.1: Healthcare expenditures 1995-2005; Figure 3.2: Annual rate of change of expenditures in different markets; Figure 3.3: Sources of healthcare finance - 2005 (€ bn); Figure 3.4: Changes in Italy’s funding structure; Figure 4.1: Percentage of Japanese population over 65 years; Figure 4.2: Reform of Japanese medical device regulatory approval system; Figure 5.1: Medical device market size - the big four in Asia; Figure 5.2: The SFDA organisation; Figure 5.3: Organisation chart of the Department of Medical Devices

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Global Trends in Reimbursement of Medical Technology

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