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Table 1 Financing modalities characteristics

From: Belgian rare diseases plan in clinical pathology: identification of key biochemical diagnostic tests and establishment of reference laboratories and financing conditions

Financing modalities

Nomenclature reimbursment codes

Reference laboratories (RLs)

Conventions with foreign laboratories

Type of medical analyses

Analyses of clinical pathology

Analyses’ availability

Available in Belgium

Not available in Belgium

Annual volume

High

Moderate to low

Low

Laboratories who can benefit from the financing

All Belgian laboratories of clinical pathology

Only Belgian laboratories of clinical pathology recognized as RLs

Specific foreign laboratories of clinical pathology

Laboratories’ selection procedure

None

Belgian call for application

By Sciensano

Every 5 years

By the RDWG of the BCCP and Sciensano

Every year

Components of the financing

Performance of the analysis

Analytical costs

Accreditation

Quality controls

Specific administrative costs

Analytical costs

Shipment costs

Financing source

INAMI-RIZIV (through a budget envelop specifically dedicated to the Action 1 of the Belgian plan for rare diseases)

Follow-up of laboratories’ activities and quality of the analyses

By the RDWG of the BCCP and Sciensano

Annual evaluation of the necessary budget

By Sciensano and the INAMI-RIZIV Insurance Committee

  1. BCCP Belgian Commission on Clinical Pathology, INAMI-RIZIV National Institute for Health and Disability Insurance, RDWG Rare Diseases Working Group, RLs reference laboratories