
Cracking the Code: IVD Reimbursement in Europe vs. The United States
Medical Device Global Market Access · Pure Global
September 15, 20253m 19s
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Show Notes
This episode breaks down the critical differences in securing reimbursement for In-Vitro Diagnostics (IVDs) between the European Union's national HTA bodies and the payer-driven system in the United States. We explore the specific requirements of key European agencies like Germany's G-BA and France's HAS and contrast them with the evidence demanded by CMS and private insurers in the U.S.
Key Questions:
• Is there a single reimbursement pathway for an IVD in the European Union?
• Which national bodies decide if your IVD gets reimbursed in Germany and France?
• How did the 2011 AMNOG act in Germany change evidentiary standards?
• What are the core differences between the evidence required by EU HTA bodies and U.S. payers?
• How does the role of CMS in the U.S. compare to that of a national HTA agency in Europe?
• Why is demonstrating economic value just as important as clinical utility in the American market?
• What are Local and National Coverage Determinations (LCDs/NCDs) in the U.S.?
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