Romanian Scorecard HTA System
A fast health technology assessment method used in Romania that scores technologies based on decision and budget impact criteria to guide reimbursement decisions.
At a glance
Use when
Rapid assessment is needed for reimbursement decisions; resource constraints limit full HTA; clear decision thresholds are required
Avoid when
Technologies require in-depth clinical or economic evaluation; high uncertainty in evidence or budget impact; context-specific adaptations are needed
Inputs
Clinical evidence, cost data, budget impact analysis, comparator information
Outputs
Score-based recommendation for unconditional or conditional reimbursement
How it works
The Romanian Scorecard HTA System is a rapid, structured scoring method that aggregates points across externally defined decision criteria and budget impact assessments. Predefined thresholds determine whether a technology receives unconditional or conditional reimbursement.
- HTA domains
- Clinical Effectiveness, Costs & Economic Evaluation, Organisational aspects
- Assumptions
- Scoring criteria are comprehensive and weighted appropriately; threshold levels reflect acceptable value for money; data inputs are reliable
- Strengths
- Enables rapid decision-making; transparent and structured approach; supports consistent reimbursement decisions
- Limitations
- May oversimplify complex evidence; limited flexibility in weighting criteria; dependent on quality of input data
Questions this answers
- › Does the technology meet minimum clinical effectiveness standards?
- › What is the budget impact of adopting the technology?
- › How does the technology compare against existing alternatives in terms of value?
- › Is the evidence sufficient to support reimbursement?
- › Should reimbursement be unconditional or conditional?
- › How should priority be assigned among competing technologies?
References & sources
Similar by meaning
- IMPACT-HTA multicriteria value framework
- Key Principles for the Improved Conduct of Health Technology Assessments for Resource Allocation Decisions
- Polish HTA Methodological Guidelines (AOTMiT)
- Czech HTA framework for pharmaceutical reimbursement (SUKL cost-effectiveness and budget-impact)
- HTA Adaptation Toolkit
Beta record. Based on the original catalogue summary; primary-source enrichment pending.

