Payback simulation of hypothetical scenario for exceeding reimbursement budget cap in present tax year.

According to the reimbursement act, the payback mechanism is in operation, when the reimbursement budget cap is exceeded (including the buffer funds) for the particular tax year.

Payback calculator constitutes the simulation tool enabling the payback estimation in selected reimbursement limit groups under the scenario of budget cap surpass in a current tax year. Additionally, this tool provides statistics for surpass sums and returns for all reimbursement limit groups including medicines from section A of the reimbursed medicine list. The obtained information allows the applicant to perform the assessment whether the decrease in sale or medicine price to avoid the payback occurrence is justified. In other words, this tool permits to identify the moment when the benefit loss related to sale fall / price reduction is lower from the payback a company must have pay for the particular medicine due to the surpass of the reimbursement cap from the preceding year. In scenario case of budget cap surpass, the detailed calculations and charts of payback in relation to reimbursement limit groups and particular medicine packages are provided.

The assumptions incorporated in the payback calculator:

  • no medicine is part of the risk sharing scheme,
  • planned reimbursement amount for the particular limit group in the preceding year, which is referred to in the reimbursement act, equals the reimbursement amount for that group in the preceding year,
  • the estimation of spending returns is carried out for medicine packages,
  • medicines which lost the reimbursement status in a present year, are further considered in simulation and the official selling price/DDD from the lastly released reimbursement list is taken as the official selling price/DDD at the end of tax year.

Access to this module is denied.
In order to obtain access, please contact
the administrator in your company.



OK

Access to this module is denied.
In order to obtain access, please contact
the administrator in your company.

OK

Access to this module is denied.
In order to obtain access, please contact
the administrator in your company.

OK

An extensive model, allowing you to accurately predict
presence and the level of payback
in polish health care system.

Should you be interested in accessing this
functionality, please write us at: ikar[at]hta.pl
or call: (+48) 502 495 488.

OK

Access to this module is denied.
In order to obtain access, please contact
the administrator in your company.

OK

This module is currently unavailable.



OK

This functionality allows for generating a MS Excel calculator simulating changes of reimbursed product's prices within limit groups along with additional calculations illustrating the budget impact.

Should you be interested in accessing this
functionality, please write us at:
ikar[at]hta.pl
or call: (+48) 502 495 488.



OK

A function which allows to generate graphs depicting <br /> the situation of the selected product or limit group <br /> in the scope of changes in prices and sales.

Should you be interested in accessing this
functionality, please write us at:
ikar[at]hta.pl
or call: (+48) 502 495 488.



OK

Functionality allows for saving a specific query which provides for quicker access to the data which is used the most often.

Should you be interested in accessing this
functionality, please write us at:
ikar[at]hta.pl
or call: (+48) 502 495 488.



OK