Dynamic HTA Working Group

Early HTA, Lifecycle HTA, and Living HTA together offer a structured, adaptive approach for integrating early input, evidence generation and continuous reassessment  into technology development. The Dynamic HTA Working Group unites stakeholders to advance practical frameworks, tools, and case studies supporting their implementation across diverse health system contexts.

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Working Group

Dynamic HTA Working Group

Established in October 2025 (currently active)

Leaders

Ramiro Gilardino
University of Buenos Aires, Argentina (rgilardino@fmed.uba.ar)
Nicole Mittmann
Canada’s Drug Agency Canada

Members
  • Judit Banhazi, Switzerland
  • Carla Fernández-Barceló, Germany
  • Janneke Grutters, The Netherlands
  • Jani Mueller, Germany
  • Wija Oorwijn, The Netherlands
  • Franz Pichler, Australia

Overview

Lifecycle HTA provides a sequenced framework for conducting health technology assessment across development, adoption, and use, structuring evidence generation and reassessment over time. Living HTA embeds a dynamic process for continuously updating assessments as new evidence, technologies, or contexts emerge. While Lifecycle HTA sets out when and why assessments take place, Living HTA determines how updates are integrated, supporting timely decision-making and the iterative use of new data. The scope of Early HTA  has recently expanded to include informing R&D, investment strategies, and research prioritization in the earliest phases of technology development. As these related approaches continue to evolve, clear practical guidance is needed.

The Dynamic HTA Working Group convenes HTA agencies, policymakers, researchers, and other key stakeholders to consolidate methodologies, develop practical tools, and share real-world case studies. By clarifying boundaries and complementarities, and by providing resources for agencies at any stage of implementation, the group supports the adoption of sequential and adaptive HTA models tailored to diverse contexts. We invite interested contributors to join and advance this effort.


Purpose

To develop best practices, guidance, and capacity-building resources that support the implementation of Early HTA, Lifecycle HTA and Living HTA approaches, ensuring alignment with system needs across contexts.


Deliverables

  • A methodological mapping linking Early HTA methods with Lifecycle use cases.
  • A guidance document on implementing sequential approaches on HTA (Lifecycle HTA and Living HTA) in practice, aligned with different system maturities.
  • Practical toolkits (e.g., checklists, decision aids).