Health Economics and Reimbursement

Asia
- India
Central & South America
- Brazil
- Mexico
- Colombia
Europe
Oceania
- Australia and New Zealand

United Kingdom

The Global Health Economics and Reimbursement Team are experts on establishing reimbursement for, and demonstrating the economic value of, Abbott technologies. We work in every stage of product life – from product development to medical coding and payment. Our goal is to ensure worldwide patient access to life improving technologies through economic evidence, medical policy and provider reimbursement..

NICE Guideline [NG196] publication on the diagnosis and management of atrial fibrillation.

The National Institute of Health and Care Excellence (NICE) recommended that point‑by‑point RF ablation should be considered if drug treatment is unsuccessful, unsuitable or not tolerated in people with symptomatic paroxysmal or persistent atrial fibrillation.

One of the reasons this recommendation was made was that point‑by‑point RF ablation was found to more cost-effective than cryoballoon ablation and other approaches to ablation.

NICE Technology Appraisal of implantable cardioverter defibrillators and cardiac resynchronisation therapy for arrhythmias and heart failure.

ICDs and CRTs are recommended as a treatment options. The guidance defines the patient groups.
NICE Technology Appraisal of dual‑chamber pacemakers for symptomatic bradycardia due to sick sinus syndrome without atrioventricular block.

Dual-chamber pacemakers are recommended as a treatment option.

Guidance from NICE: Interventional Procedures Guidance (IPG 711) on percutaneous implantation of pulmonary artery pressure sensors for monitoring treatment of chronic heart failure.

This guidance recommends standard arrangements are in place for glinical governance, consent, and audit on pulmonary artery pressure sensors for monitoring treatment of chronic heart failure.
Publication of cost-effectiveness of HeartMate 3 vs. medical therapy in transplant-ineligible patients

This peer-reviewed manuscript supports HeartMate 3™ LVAD in destination therapy as a cost-effective option vs. medical therapy in the UK for advanced heart failure patients ineligible for transplant.

NICE Interventional Procedures Guidance on percutaneous mitral valve leaflet repair for mitral regurgitation.

These recommendations include standard arrangements for clinical governance, consent and audit or research in the procedure of percutaneous mitral valve leaflet repair for mitral regurgitation.
NICE Interventional Procedures Guidance on percutaneous occlusion of the left atrial appendage in non-valvular atrial fibrillation for the prevention of thromboembolism.

These recommendations include normal arrangements for clinical governance, consent and audit or research in the procedure of percutaneous occlusion of the left atrial appendage in non-valvular atrial fibrillation for the prevention of thromboembolism.
NICE Interventional Procedures Guidance on percutaneous closure of patent foramen ovale to prevent recurrent cerebral embolic events.

These recommendations include normal arrangements for clinical governance, consent and audit or research in the procedure of percutaneous closure of patent foramen ovale to prevent recurrent cerebral embolic events.

Commissioning policy for percutaneous patent foraman ovale closure for the prevention of recurrent cerebral embolic stroke in adults (around the age 60 years and under).

Routinely commissioned by NHS England Specialised Services
Commissioning policy for percutaneous mitral valve leaflet repair for primary degenerative mitral regurgitation in adults.

Routinely commissioned by NHS England Specialised Services
Commissioning policy for Left Atrial Appendage Occlusion for patients with atrial fibrillation and relative or absolute contraindications to anticoagulation (adults).

Routinely commissioned by NHS England Specialised Services
Commissioning policy for Transcatheter Aortic Valve Implantation (TAVI) For Aortic Stenosis.

Routinely commissioned by NHS England Specialised Services

NICE Interventional Procedures Guidance on Optical Coherence Tomography (OCT).

These recommendations include special arrangements for clinical governance, consent and audit or research in OCT use.
NICE Interventional Procedure Guidance on percutaneous mechanical thrombectomy for acute deep vein thrombosis of the leg

The recommendations include:

For acute iliofemoral DVT, the evidence on efficacy is limited in quality and quantity, therefore this procedure should only be used with special arrangements for clinical governance, consent, and audit or research.

For distal DVT that does not extend into the common femoral vein, the evidence on efficacy is inconclusive, therefore this procedure should only be used in the context of research.

These recommendations include special arrangements for clinical governance, consent and audit or research in the procedure of percutaneous insertion of a temporary heart pump for left ventricular haemodynamic support in high-risk percutaneous coronary interventions.

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This material and the information contained herein is for general information purposes only and is not intended, and does not constitute, legal, reimbursement, business, clinical, or other advice. Furthermore, it is not intended to and does not constitute a representation or guarantee of reimbursement, payment, or charge, or that reimbursement or other payment will be received. It is not intended to increase or maximize payment by any payer. Similarly, nothing in this document should be viewed as instructions for selecting any particular code, and Abbott does not advocate or warrant the appropriateness of the use of any particular code. The ultimate responsibility for coding and obtaining payment/reimbursement remains with the customer. This includes the responsibility for accuracy and veracity of all coding and claims submitted to third-party payers. In addition, the customer should note that laws, regulations, and coverage policies are complex and are updated frequently, and, therefore, the customer should check with its local carriers or intermediaries often and should consult with legal counsel or a financial, coding, or reimbursement specialist for any questions related to coding, billing, reimbursement or any related issues. This material reproduces information for reference purposes only. It is not provided or authorized for marketing use.

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