Germanys healthcare market Market Participants Hospitals Health - - PowerPoint PPT Presentation

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Apr 02, 2024 208 likes •330 views

Germanys healthcare market Market Participants Hospitals Health Insurance Sanittshuser 1 948 5 500 Nursing homes State insurance Pharmacies 13 596 113 (85%) 18 880 Private insurance Home-care nursing Physicians, 44 (11%)

SLIDE 1

Germany‘s healthcare market

SLIDE 2

Slide 2 | 13. November 2018

Market Participants

State insurance 113 (85%) Private insurance 44 (11%) Hospitals 1 948 Nursing homes 13 596 Home-care nursing 13 323 “Sanitätshäuser“ 5 500 Pharmacies 18 880 Physicians, Physiotherapists .. Health Insurance

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Slide 3 | 13. November 2018

Germany‘s Reimbursement Process

Hilfsmittelverzeichnis (HMV) Product listing Review Supply Application Approval Contract

113 Health Insurances

7500 Contract

SLIDE 4

Slide 4 | 13. November 2018

HMV-Database

I. Healthcare Market
III. Reimbursement
IV. Excursus

Group Product types Group Product types 01 Suction devices 20 Positioning support 02 Adaption aids 21 Measurement-device for bodily funcions 03 Application aids 22 Mobility aids 04 Bathing aids 23 Orthoses 05 Braces 24 Breast prostheses 06 Radiotherapy devices 25 Device for the blind 07 Aid for the blind 26 Seating aids 08 Insoles 27 Speech devices 09 Electric stimulation devices 28 Standing aids 10 Walking aids 29 Stoma products 11 Aids against decubitus 31 Shoes 12 Aids for tracheostoma 32 Therapeutical motion devices 13 Hearing aids 33 Toilet aids 14 Respiratory devices 50 Aids to ease care 15 Incontinence aids 51 Aids for body hygene 16 Communication aids 52 Aids for independent living/mobility 17 Aids for compression-therapy 53 Aids for pain relief 18 Vehicles for disabled 54 One-time-use product waste 19 Patient care products 99 Various

42 product groups more than 600 subgroups More than 1800 product types

Approx. 30 000 products

SLIDE 5

10-digit reimbursement code Group

Mobility Braces Respitaroy

... Application

Indoors Outdoors Hand Body

... Subgroup

Functionality Weight Powered

... Type

Design Material Other features

... Product

Specific

Slide 5 | 13. November 2018

HMV-Code

XX XX XX X xxx

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Slide 6 | 13. November 2018

Reimbursable Products (SGB V)

“...only products with one of the functionalities below can be listed

Necessary for the medical treatment success
Prevent an imminent disability
Compensate for disability“

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Slide 7 | 13. November 2018

Requirements for HMV-code

I. Functionality
II. Safety
III. Special
III.1 Indication and application
III.2 Life time / durability
III.3 Re-use
IV. Medical benefits
V. User’s Instructions
VI. Additional

Statements and proofs

Declaration of Conformity
Medical case report
Product test report
Adjustments-statement

MDR 2017/745/EU

(MDD 93/42/EEC)

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Slide 8 | 13. November 2018

Application process

Hilfsmittelverzeichnis (HMV) submission file forwarding File review and evaluation Internal and external experts recommendation Additional evaluation e.g. check for legal status of reimbursement confirmation Publish in HMV 3-4 months (best case scenario)

ammendments deviations

APPLICANT

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Slide 9 | 13. November 2018

HMV Facts

CE mark is mandatory Additional Requirements German Social Law (SGB V) Further marketing is necessary Opens door to market participants Straightforward reimbursement Only manufacturers are registered MDR 2017/745/EU

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Slide 10 | 13. November 2018

Heil- und Hilfsmittelversorgungsgesetz – (HHVG) (Healing- and Technical-Aid Supply Law)

Frequent review Delete „old“ products Stricter requirements New rules More patients for case studies Registration fees are possible Report: product changes Database update Limited to specific indications

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