Romanian hospital and out-patient reimbursement system

This online on-demand seminar gives a comprehensive understanding of the hospital and out-patient reimbursement landscape for medical devices in Romania.Provided in the form of a presentation in Acrobat PDF

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The hospital payment system is complex in Romania. Romanian hospitals receive monthly prospective payments, as defined in the contract with the District Health Insurance House (DHIH). The total contracted amount is calculated by using a mix of qualitative and quantitative (including DRG, case-payment, and fee-for-service payment mechanisms) factors. In addition, certain hospitals can receive lump sums per patient for complex and expensive procedures via the National Curative Programs.

National Health Insurance House (CNAS) and the Ministry of Health (MoH) are key reimbursement stakeholders that develop the Framework Contract, which defines the guaranteed services, typically every two years.

We offer a seminar on critical elements of the hospital reimbursement system for medical devices in Romania 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, policy-makers, decision influencers and support bodies (developer of procedural classification/DRG system)

Money flow, hospital and out-patient payment system

Money flow and distribution of funds, an overview of the hospital payment system, overview of Application Norms of Framework Contract, reimbursement model in out-patient settings

National Curative Programs and role of health technology assessment

A brief overview of National Curative Programs, HTA framework and its impact on reimbursement decisions

What topics are not covered?

Some topics are not specifically covered in this seminar: reimbursement model in out-patient settings, 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

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