Our Priorities Access to Medical Technology

Value-Based Procurement

Male nurse pushing stretcher gurney bed in hospital corridor with doctors and senior female patient

Public procurement refers to the process by which public authorities, such as government departments, local authorities or public hospitals, purchase work, goods or services from companies. Approximately 70% of medical technologies are purchased through procurement.

An efficient (public) procurement environment is essential for all healthcare actors: the medical technology industry, patients, society and the health system in general. Better public procurement can help to reduce the pressure on health budgets in EU Member States, deliver better value, and foster the development of better-quality products and innovations.

MedTech Europe and its members are actively engaged in a range of procurement activities including:

  1. the promotion of key principles for “smart procurement” which are a prerequisite for creating an efficient procurement environment
  2. the development of a framework and tool to award the procurement of medical technologies whereby purchasing decisions are based on the holistic value of the medical technologies, services or solutions. This approach, known as the Most Economically Advantageous Tender (MEAT) Value-Based Procurement initiative, is in line with the new 2014/24/EU public procurement Directive the MEAT (Most Economically Advantageous Tender) criterion as defined in the Directive and the EU public procurement strategy
  3. active engagement in international initiatives on innovative procurement mechanisms and contracting
  4. monitoring EU-related matters and contributing to dialogue with policymakers, such as the European Commission

Procurement in Europe

The European Union is committed to encouraging smart procurement to foster sustainability and innovation. European public procurement directives address the way public authorities purchase goods, works and services. In April 2016, three new directives on procurement came into force, aiming to modernise procurement. Directive 2014/24/EU on public procurement emphasises the importance of value for money and quality, making the MEAT the default criteria.

Procurement practices in the health sector are specific to Member States. For example, the degree to which quality criteria and innovative procurement methods are used varies widely among countries.

In response, MedTech Europe monitors and, where possible, informs and contributes to public procurement initiatives and developments at EU level. MedTech Europe continuously raises awareness and advises member companies and national associations on procurement policy issues and on the latest developments at EU and Member State levels.

Smart procurement

Smart procurement processes incentivise investments in new technology and enhance patients’ access to the best available treatments. MedTech Europe promotes the key principles of smart procurement: procurement processes that recognise and reward innovations and that foster growth.

In response to the EU Public Procurement Directive calling for new methodologies to implement MEAT, MedTech Europe, procurement experts and the Boston Consulting Group jointly developed the MEAT Value-Based Procurement This initiative provides contracting authorities with a flexible and framework and practical tool for evaluating medical technologies and solutions, using award criteria that take a holistic approach. It includes outcomes that matter to patients, clinical evidence, cost of care delivery, benefits for the various health care actors, environmental and social sustainability, and wider economic and public health benefits.

The suggested framework promotes a new way of thinking while offering contracting authorities the flexibility required to suit their needs. This approach can deliver true value for health systems and better outcomes for patients while fostering technological innovation and investment in research.

To achieve its full potential, the shift towards MEAT Value-Based Procurement must be embraced by all players in healthcare, including contracting authorities, hospital management, health professionals and policymakers. Medtech Europe drives multiple initiatives to make this a reality.

How to advance Value-Based Procurement

  • Healthcare providers can build multidisciplinary teams and include outcome and value criteria along with end-to-end costs in tenders in order to obtain most economic advantageous results; test the MEAT VBP approach via pilots; and share experiences
  • Policymakers can mandate a common view of value and consider the full patient care pathway; foster collaboration between providers and suppliers; and enable suppliers to be a partner for actively improving health and care using value to guide investment decisions
  • Healthcare professionals can engage with procurement experts to devise clinical outcome and use criteria of relevance to optimize care delivery for inclusion in value-based procurement
  • Patient groups can add their support for this patient-centred approach, and engage with local contracting authorities to ensure outcomes that matter to patients and informal care givers are included in tenders
  • Industry can advocate for MEAT VBP and invest in demonstrating the value of their technologies, services and solutions to patients, hospitals, contracting authorities and health systems as well as society.

MedTech Europe, by building out a value-based procurement community of practice and engaging in EU supporting actions to deploy value-based public procurement of innovative solutions, is playing its part in advancing procurement practices throughout Europe. Through a series of meetings with experts, pilots, collection and sharing of pilot experiences, and an online engagement tool, we are helping MEAT value-based procurement to become a reality.



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