Calculating the price of a new diagnostic or therapeutic option. Example of transurethral resection of bladder tumors using photodynamic diagnostics with hexaminolevulinic acid

• Published in: Urologe. Ausgabe A Vol. 47; no. 9; pp. 1239 - 1244
• Main Authors: Burger, M, Petschl, S, Volkmer, B G
• Format: Journal Article
• Language: German
• Published: Germany 01-09-2008
• Subjects: Aminolevulinic Acid - analogs & derivatives; Aminolevulinic Acid - economics; Biopsy - economics; Budgets - organization & administration; Carcinoma, Transitional Cell - diagnosis; Carcinoma, Transitional Cell - economics; Carcinoma, Transitional Cell - pathology; Carcinoma, Transitional Cell - surgery; Cost-Benefit Analysis - legislation & jurisprudence; Cystoscopy - economics; Diagnosis-Related Groups - economics; Diagnosis-Related Groups - legislation & jurisprudence; Germany; Hospital Costs - legislation & jurisprudence; Humans; Laser Therapy - economics; Lasers, Solid-State - therapeutic use; National Health Programs - economics; National Health Programs - legislation & jurisprudence; Negotiating; Neoplasm Staging; Reimbursement Mechanisms - economics; Reimbursement Mechanisms - legislation & jurisprudence; Technology, High-Cost - economics; Technology, High-Cost - legislation & jurisprudence; Time and Motion Studies; Urinary Bladder Neoplasms - diagnosis; Urinary Bladder Neoplasms - economics; Urinary Bladder Neoplasms - pathology; Urinary Bladder Neoplasms - surgery; Germany
• ISSN: 0340-2592
• DOI: 10.1007/s00120-008-1810-6

New diagnostic or therapeutic options (NDTOs) are remunerated separately in the German DRG system. The Institute for Remuneration in Hospitals decides which proposed NDTOs are accepted for separate remuneration for 1 year. With this acceptance, hospitals can enter negotiations with insurance companies for an individual price of the NDTO. Because there are no general recommendations for these negotiations, we present a scheme for how to calculate an NDTO, based on the example of the NDTO for transurethral resection of bladder tumors using photodynamic diagnostic with hexaminolevulinic acid.