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Current Medical Technology Reimbursement System in Japan
Tomoko Matsumoto1, Liesl Strachan2, Shoko Oyama1
1Healthcare Economics and Government Affairs, Medtronic Japan, Ltd, Tokyo, Japan.
Value in Health Regional Issues
|January 25, 2023
Summary
Japan's medical technology reimbursement system is complex. This review outlines the process, highlighting transparency but noting challenges in valuing innovation, suggesting policy improvements for better access and sustainability.
Area of Science:
- Health Economics
- Health Policy
- Medical Technology Assessment
Background:
- The reimbursement process for medical technologies in Japan is intricate and not comprehensively documented.
- Understanding this system is crucial for innovators and policymakers.
Purpose of the Study:
- To provide an overview of Japan's medical technology reimbursement system.
- To detail the application process and payment decision-making framework.
Main Methods:
- A review of pertinent health policies and regulations was conducted.
- Key stakeholder opinions were gathered to inform the analysis.
Main Results:
- Japan utilizes a unique fee-for-service payment system based on functional category listing.
- The system offers transparency and a predictable path for new technologies.
- Challenges exist in capturing the full innovation of new technologies, particularly with new categories or coding.
Conclusions:
- Potential improvements include revising price setting based on market surveys and foreign prices.
- Integrating health technology assessment can enhance value.
- Policy modifications can improve access to innovative medical technologies within a sustainable national health insurance framework.
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