Table 6.
Country | Health system | Benefit basket | Catalog characteristics | Elements of tariff calculation |
---|---|---|---|---|
Germany | Social Health Insurance | Uniform value scale | Positive list, generic description of medical act | Non-medical acts involved/time spent based on expert opinion, material costs, investment costs |
France | Etatist Social Health Insurance | Nomenclature of the medical biological acts | Positive list, generic description of medical act | Time spent on medical act, stress level during medical act, mental effort, technical competence |
UK | National Health Service | Benefit basket as defined by the National Institute for Health and Care Excellence guidance on technologies | Commercial tests are specified within NICE guidance | Cost parameters in relation to efficiency, appropriateness, and quality; standard costs of related medical acts in the regions |
Adapted from shedding light on reimbursement policies of companion diagnostics in European countries p. 608. Copyright 2020 by ScienceDirect.