How should policymakers decide which health innovations to adopt? These guidelines offer a structured, evidence-based approach, combining economic and PESTLE analysis with practical tools like the Technology Radar and Decision Matrix to make smarter, future-ready health decisions.

Do older Europeans get the home care they actually need? This report compares long-term care allowances across all 27 EU countries and analyses real usage data, revealing that access depends more on how eligibility rules are designed than on people’s actual needs.

Millions now consult their doctor through an app instead of a waiting room. This report evaluates Catalonia’s La Meva Salut platform on over 797 million records, revealing modest savings on face-to-face visits alongside persistent inequalities in who uses it.

How hospitals are paid shapes the care patients get. This report gathers the views of Polish healthcare experts on the country’s DRG payment system, using focus groups, interviews and a PESTEL analysis to reveal why the model needs reform to match real health needs.

Do bonuses make doctors provide better care, or is honest feedback enough? Using real primary care data from Spain and Italy, this report compares financial incentives and information feedback, finding that transparency alone is powerful and money adds targeted value.

Do the rules that pay for hospital care shape its quality? Using Italian data, this report examines how DRG reimbursement tariffs and the public release of performance data affect hospitals, finding that both improve process indicators, especially where competition is stronger.

Can patients travelling abroad for care actually improve Europe’s health systems? This report finds that mobility to chase quality does little to close gaps, but shows how mobility organised between countries could manage spare capacity and support rare disease treatment.

How much will a new medicine cost a health system over the years ahead? This deliverable offers a free, open source software tool that uses Markov models to forecast the budget impact of pharmaceutical innovations, even in complex cases involving multiple treatments and payment by results.

Do bonuses and penalties actually change how hospitals behave? This database organises the international research into a searchable workbook, linking each payment mechanism to the incentive it creates, the effect it produced and the quality of the study behind the finding.

Does universal healthcare really share resources fairly? This report tests whether wealthier Europeans quietly opt out by paying privately, leaving public care for those with less. Using data from 15 countries, it finds income strongly shapes private spending, with clear lessons for equity.

Can people with disabilities in Europe afford the care they need? This report surveys disability organisations in eight countries and finds cost barriers across rehabilitation, dental care and assistive devices, offering recommendations to strengthen financial protection.

Why do people skip care they cannot afford, and what would fix it? This deliverable is a ready to use interview guide for policymakers, funders and patient organisations, gathering comparable national evidence on cost related unmet needs and the remedies that work.

How can health systems judge a technology that has not yet reached the market? This deliverable sets out the FLASH early assessment method, combining a technology radar, expert consultation and a scoring matrix, so that funding decisions can be taken sooner and more openly.

When a health technology is still years from the market, what should count in the decision? This deliverable reports how 25 experts in Catalonia and across Europe tested the FLASH method, and turns their answers into indicators and a matrix for weighing innovations.

Why do so few Europeans cross a border for treatment? This report maps the EU rules on cross border care, reviews the latest data on patient flows and identifies four areas, from rare diseases to border regions, where EU action could make mobility work better.

Does the way family doctors are paid change the care patients receive? This report builds a theoretical model of prevention effort and hospital referrals for chronically ill patients under three payment schemes, and turns the results into hypotheses for a laboratory experiment.

How is your family doctor paid, and does it change the care you get? This report maps the bonus and performance payment schemes introduced in primary care in nine European countries, showing which goals they target, who receives them, and what the evidence says about their effects.

How do the rules for paying hospitals change the way they treat patients? This systematic review gathers 171 studies published between 2013 and 2023 across 24 countries, classifying which payment mechanisms were tested and what effects they had on cost, quality and access.