Even though the February 2018 Prostheses List has yet to come into effect, the deadlines for submitting applications to the August List are fast approaching. Missing a deadline can delay your access to the private hospital market by at least 6 months.
The deadline for Ophthalmic, Urogenital, Specialist Orthopaedic, Cardiac, Cardiothoracic, Vascular, Hip, Knee and Spinal products is 13 April 2018.
The deadline for Ear, Nose and Throat, Neurosurgical, Plastic and Reconstructive and General Miscellaneous is 4 May 2018.
The deadline for supplying ARTG Certificates is 9 August 2018.
It can be challenging to prepare Prostheses List applications. Decisions can be inconsistent and appear to lack logic. The assessment process can be less than ideal. When preparing an application, it should be kept in mind that the clinical aspect of your application will be assessed by a practicing doctor who is working in that speciality. They will have many applications to review so it is a good idea to make their job as easy as possible.
Tip 1: Only include relevant and pertinent clinical information. If you are not skilled at evaluating clinical evidence or reading clinical papers seek expert advice.
Tip 2: Make sure your application is well written. This may sound like basic advice, but many applications are verbose, rambling and difficult to understand. You need to identify the key point you wish to make and do it clearly and succinctly. What you may think is a key point, may not necessarily be considered key by the assessors.
Tip 3: Avoid marketing language. Colourful or emotive language can be great for brochures, but a dispassionate approach is best in applications.
Tip 4: Be wary when including economic information. Using economic evaluations from other jurisdictions may not help your case. Health economic data does not travel well. It really is necessary to see if any modelling can be adapted to the Australian setting before including this type of evidence. Make sure you have good advice.
Tip 5: Be very careful when making economic claims. Terms like ‘cost-effective’, ‘cost benefit’ and ‘budget impact’ have very specific meanings in health economics. If you use them incorrectly your application will appear amateurish and will not help your case. Seek the help of a health economist if you need to make an economic argument.
To learn about Australian Device Reimbursement, be sure to register for the Asia Pacific Device Summit being held March 19-20, 2018 in Yorba Linda, California. Register now.
Your RAC credential highlights your ongoing commitment to regulatory excellence. Maintain your RAC by acquiring 11 RAC Credits at the Asia Pacific Device Summit.