HTA & Reimbursement

Terms for how health technology assessment bodies appraise new technologies and reach funding decisions.

  • Topic: HTA & Reimbursement
  • 43 terms
  • Editor reviewed

1–8 of 43 terms

Appraisal CommitteeAppraisal Panel, HTA Appraisal Panel

An appointed group that deliberates on clinical, economic and other relevant evidence to make a health technology recommendation within an institution’s decision framework.

CADTHCanadian Agency for Drugs and Technologies in Health, Canada's Drug Agency

The Canadian Agency for Drugs and Technologies in Health, an independent national body providing evidence-based assessment recommendations for drug funding decisions.

Conditional RecommendationDiscretionary Recommendation, Conditional GRADE Recommendation

Within frameworks such as GRADE, a recommendation indicating benefits probably outweigh harms but with less certainty, giving patient preferences a larger role.

Coverage DecisionFunding Decision, Payer Coverage Ruling, Coverage Determination

The formal determination by a payer or assessment body regarding whether, and under what conditions, a technology will be reimbursed.

Decision CriteriaAppraisal Criteria, Decision Factors

The specific factors, such as cost-effectiveness and clinical benefit, an assessment body formally considers when reaching a funding recommendation.

Deliberative ProcessDeliberation, Reasoned Deliberation

A structured process of reasoned discussion of evidence and perspectives, used to reach well-justified decisions amid uncertainty or competing values.

Early Health Technology AssessmentEarly HTA, Early Modelling

The assessment of a health technology during development to inform design, evidence generation, pricing and market-access strategy.

EUnetHTAEuropean Network for HTA, EU HTA Network

The European Network for Health Technology Assessment, a collaborative network promoting methodological consistency and reducing duplication across EU member states.