DRG

On 19 October 2026, the Norwegian Directorate of Health published the preliminary 2027 activity-based funding (ISF) framework, including updates to the Diagnosis-Related Group (DRG) system. While the overall system remains largely unchanged, the share of activity-based funding for somatic specialist care is set to increase from 30% to 40%. Seven new DRGs and four Special Service Groups (STGs) are planned, although none of them are directly related to MedTech.

On October 1, 2026, the Dutch Healthcare Authority (NZa) published the second release of the DRG package for 2027 (RZ27b). One new procedure code will be introduced in the ENT field. No new diagnoses or DRGs are introduced, and no new supplementary payments (OZP) are added in the Med Tech-related field. The effective date of the release is January 1, 2027.

On June 29, 2026, the document "Changes and innovations in the 2027 LKF model" was published. The document summarizes the most significant changes and innovations in the LKF model for inpatient and outpatient care. The procedure codes expected to be introduced in 2027 mainly concern cardiovascular, diagnostic imaging, e-Health, neuromodulation, and surgical procedures.

The application window for changes in the Swiss Classification of Surgical Procedures (CHOP) is open from June 1 to September 14, 2026. The application window for changes in the SwissDRG system is open from June 1 to July 13, 2026. The eligible applicants in both processes are limited to system stakeholders.

On May 1, 2026, the Dutch Healthcare Authority (NZa) published the first release of the 2027 DRG package (RZ27a). Seven new procedure codes, one new diagnosis code, two new supplementary payments (OZPs), and 23 DRGs will be implemented across multiple fields, including gastrointestinal, gynecology, pulmonology, men’s health, and in-vitro diagnostics (pathology).

In April 2026, the Danish Health Data Authority opened the application period for changes to the 2028 DRG logic, including the creation of new DRG codes and modifications to the grouping logic for existing DRGs. The application deadline is October 30, 2026.

On March 26, 2026, NHS England published the final version of the 2026/27 NHS Payment Scheme, effective from April 1, 2026. While the overall payment model remains largely unchanged, several targeted updates have been introduced. These include new blended payments for urgent and emergency care, radiotherapy, and genomic testing, as well as two new Best Practice Tariffs (BPTs) to incentivize day case procedures and support 10 Year Health Plan referral-to-treatment (RTT) priorities.

In March 2026, the SwissDRG, the entity managing the DRG system in Switzerland, announced that it would be accepting applications for changes from June 1, 2026, until July 13, 2026. The results of the DRG applications made in 2026 will be reflected in the 2028 version of the SwissDRG.

On January 14, 2026, the French Ministry of Health, Family, Autonomy and People with Disability published the Order setting DRG tariffs and tariffs for other packages and supplements for 2026. The released tariffs are in effect from January 1, 2026, and include new, higher DRG tariffs for several procedures, such as HIFU destruction of prostate lesions, as well as updates to packages for organ perfusion technologies for transplantation.

On December 19, 2025, the Dutch Healthcare Authority (NZa) published the draft release of the 2027 DRG package (RZ27a). Seven new procedure codes, one new diagnosis code, and one new supplementary payment (OZP) are expected to be implemented across in-vitro diagnostics, obstetrics and gynecology, gastroenterology, urology, and other technology groups.

In January 2026, the National Institute for Health and Disability Insurance (INAMI-RIZIV) updated “Low variability care” (APR-DRG) system for 2026. Overall, no significant changes were made to the system: no new DRGs were introduced, and tariffs remained nearly unchanged.

In December 2025, the Danish Health Data Authority published the DRG tariff system (Takstsystem) guide, which provides an overall description of billing rules, tariffs, and grouping logic for 2026. Among other changes, 17 new DRGs were introduced in the nephrology and urology, obstetrics and gynecology, and some other fields.