22. November 2020 – In a recent decision concerning the three-yearly price review, the Federal Administrative Court held that neither the previous files nor the statements of the lower instance showed how the lower instance converted the equivalences it had stated into daily therapy costs and that the Federal Administrative Court, therefore, was not able to confirm the therapeutic cross comparison (TCC). Furthermore, it held that a TCC based solely on the NICE-guidelines proves to be inadequate and the case should therefore be referred back to the lower instance. The Federal Administrative Court has thus upheld the appeal.

For the full decision, see here.