Austrian hospital reimbursement system

This online on-demand seminar gives a comprehensive understanding of the hospital reimbursement landscape for medical devices in Austria. Additional modules cover out-patient reimbursement system

Provided in the form of a presentation in Acrobat PDF 

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Austria offers a good opportunity for medical device companies.

Austrian hospitals receive a global budget, adjusted using diagnosis-related group (DRG) system. There is a limited possibility to change the DRG system. The key market access challenge in Austria is related to the introduction of novel procedures into the system. Typically, this requires a health technology assessment by the Austrian Institute for Health Technology Assessment (AIHTA). Evidence requirements of AIHTA are very high, and historically, up to 78% of the Institute’s recommendations were negative.

We offer a seminar on critical elements of the hospital reimbursement system for medical devices in Austria that can guide your decision-making about the introduction of novel technologies into this market.

What topics are reviewed?

Key stakeholders and their role in reimbursement processes

Key stakeholders are reviewed, including payers (regional and occupational social insurance funds), policy-makers, advising organizations (HTA bodies), manager of DRG system (LKF-Working Group)

Money flow, hospital payment system, provisional reimbursement codes (NUB)

Money flow and distribution of funds, an overview of the hospital payment system (DRG system), the process for inclusion of novel procedures in the DRG system, system of provisional reimbursement codes (NUB)

Role of health technology assessment

A brief overview of HTA framework and impact on reimbursement decisions

Additional modules

Overview of the Austrian out-patient reimbursement system

A separate comprehensive overview of the outpatient reimbursement system in Austria

What topics are not covered?

Some topics are not specifically covered in this seminar: reimbursement for medical aids (devices for home use) and in-vitro diagnostic tests, funding of capital equipment. The introductory presentation also does not include details of reimbursement application processes (for example, application form, requirements, details of the process for the creation of procedure code or DRG change).

Topics that are not covered in this seminar will be included in future courses. You can subscribe to our newsletter and inform us about your particular interests at the main page of the Market Access Academy.

How is the seminar delivered?

Presentation in Acrobat PDF

At the moment, you can only access the educational material as the full presentation of the seminar in Acrobat PDF

Updates of the seminar

June 2019: Update of the overview of the Austrian hospital reimbursement system (Substantial rework in the description of the main stakeholders in the system, updated slide on money flow in the health care system, added a new slide on the criteria for acceptance of novel procedures for the benefit catalogue, added a new slide on the frequency of inclusion novel provisional codes into the system).

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