Innovation in European healthcare – what can Sweden learn? - LIF

Implementation and use of innovations
in the outpatient sector (SHI)
Who is entitled to make an application?
• The initial condition for the initiation of a
discussion procedure is the
corresponding application from bodies
entitled by law to submit an application
• These are normally
– the responsible national
confederations of regional
associations of service providers,
– the GKV national confederations of
regional associations of health
insurance funds
– the organisations recognised in the
Ordinance on Patient Participation
or the neutral members of the G-BA
What must an application for examining a
method contain?
• A complete application to examine the
criteria of benefit, medical necessity and
cost-effectiveness for an diagnostic and
therapeutic method must contain:
– A description of the diagnostic or
therapeutic method to be examined,
– The indications and objectives to be
examined,
– A detailed justification, based on
information for the relevant indication, on
the benefit, medical necessity and costeffectiveness,
each supported by scientific
literature and in comparison to methods
already provided,
– Information on the relevance of the
method,
– Information on the urgency of the
evaluation
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