Health Care and Health Economics: responsibilities of the department

The department has two divisions: It identifies and describes health care standards and gaps in health care. It also works on economic research questions concerning the German health care system – both for drug and non-drug interventions and for health care concepts.

The aim of the reports produced in this department is to provide a basis for needs-based health care so as to expose inappropriate or over-/underprovision of health care services.

Usually in collaboration with external experts, the staff members conduct and produce:

  • systematic guideline searches and appraisals for diseases with epidemiological relevance, which, among other things, serve as the basis for the development of new or the updating of existing disease management programmes (DMPs)
  • dossier assessments according to §35a Social Code Book (SGB) V (assessment of the information on the number of patients and on the costs of treatment provided in the dossier submitted by the drug manufacturer)
  • scientific assessments of minimum volumes, that is, the relationship between the volume of services and the quality of treatment outcomes for specific medical interventions
  • analyses of health care issues with the aim of gaining information on the health care situation
  • health economic analyses

Scientific project management for the production of HTA reports is also one of the responsibilities of the department (according to §139b [5] SGB V). These HTA reports are based on topics suggested on the website “ThemenCheck Medizin” (Topic check medicine) by statutory health insurance members and other interested people. These reports always assess benefit and harm of a medical procedure. In addition, the HTA reports can also investigate economic, ethical, legal, social and organizational aspects regarding patient care.

With the new Digital Health Care Act (DVG), since January 2020 the Association of the Scientific Medical Societies in Germany (AWMF) has been able to propose guidelines to the Federal Ministry of Health (BMG). The department supports the development or updating of these guidelines (acc. to §§ 139 a (3) No. 3, 139 b (6) SGB V) by means of literature searches for evidence.

In addition, they further develop scientific methods on the basis of international standards in evidence-based medicine and health economics

  • for the evaluation of the quality of the content and methods of guidelines as well as for the production of guideline synopses
  • for the analyses of health care issues
  • for the production of comprehensive HTA reports and
  • for health economic evaluations

further information

Department staff

Dr. Lutz Altenhofen

Dr. Lutz Altenhofen

Professional Profile

1987 Graduation in Social Sciences at Cologne University. 1996 Doctorate (Dr. rer. soc.) at Bielefeld University; thesis on the topic of diffusion of innovation in medicine. 1988 – 1989 Research Associate in the Central Institute for Health Care Provided by Statutory Health Insurance Physicians (ZI); main focus: the 'Priority Health Goals' project by the Federal Ministry of Health. 1989 – 1997 at the ZI; main focus: early detection of disease in childhood and provision of advice to the National Association of Statutory Health Insurance Physicians (KBV) in the committees of the joint self-government (design of preventive measures in childhood and adolescence). 1997 – 2015 Project Manager at the ZI for studies and measures in prevention and quality assurance; main focus: early detection of bowel cancer, accompanying evaluation of colonoscopy for early detection as well as development of Germany-wide benchmark-oriented feedback systems for institutions conducting colonoscopy. 2004 – 2015 Head of the DMP Project Office of the ZI, development and implementation of DMP-accompanying quality assurance measures on commission of the Associations of Statutory Health Insurance Physicians in North-Rhine Westphalia (NRW), the statutory health insurance funds, and the NRW Regional Hospital Association. Since 2016 Head of the Health Care and Health Economics Department at IQWiG.

Dr. Claudia Mischke

Dr. Claudia Mischke

Professional profile

Nurse training at the Nursing School of the Bonn University Hospital; 1990 – 1997: Nurse at the München-Bogenhausen Hospital and at the Frankfurt am Main Heart Centre; 1993 – 1997: Nursing studies at the Protestant University of Applied Sciences Darmstadt and at the Oulu University of Applied Sciences (Finland); 1997 – 1999: Quality Assurance Unit at the Red Cross Sisterhood Baden Württemberg, with a main focus on quality development in the acute, long-term and educational area; 1999 – 2003: Nursing Science Unit at the Ingolstadt Hospital Association, with a main focus on development of care and optimization of intradisciplinary and interdisciplinary processes; 2002 – 2004: Master of Public Health studies at Bielefeld University; 2004 – 2005: Consultant at the Ministry of Labour, Health and Social Affairs of North Rhine-Westphalia; 2006 – 2011: Research Associate at the University of Applied Sciences Saarbrücken; 2011: Doctorate at Witten/Herdecke University; 2011 – 2015: Professor and Deputy Director of the joint programme Master of Science in Nursing at the Bern University of Applied Sciences; since November 2015: Division Head of the Health Care Division in the Department of Health Care and Health Economics.

Dr. rer. pol. Sarah Mostardt

Dr. rer. pol. Sarah Mostardt

Professional profile

Degree in Health Economics from the University of Cologne; 2007 – 2010 Research Associate in the working group “Health economic evaluation and health services research”, Alfried Krupp von Bohlen und Halbach Foundation Endowed Chair for Medicine Management, University of Duisburg-Essen (Professor Wasem); 2010 – 2013 Head of the aforementioned working group; 2011 Doctorate on the topic “Disease costs of HIV infection in Germany”; 2013 – 2016 Research Associate in the Health Economics Department, IQWiG; since 2016 Division Head of the Health Economics Division in the Department of Health Care and Health Economics.

Dr. Anja Schwalm

Dr. Anja Schwalm

Professional profile

Studied Health Economics at the University of Cologne from 2001-2006; Consultant at the Department of Medical Advisory Services of the Federal Joint Committee from 2006 to 2009; Research Associate at IQWiG since 2009; Doctorate (Dr. rer. med.) at the University of Greifswald in 2015; currently Head of the Health Economics Division, Department of Health Care and Health Economics.

Nadia Abu Rajab
Christiane Balg
Dr. med. Carmen Bartel
Dr. Valeria Biermann
Jannika Braasch
Susanne Ein Waldt
Corinna Ernsting, MSc PH
Reza Fathollah-Nejad, MA
Katharina Frangen
Sabine Gruber-Hohaus
Christina Grünthal
Dr. rer. nat. Eva Höfer
Dr. rer. medic. Wiebke Hoffmann-Eßer
Nicole Holzmann, Dipl.-Pflegewirtin (FH)
Consuela Jacobi-Yniguez
Maximilian Kind
Dr. Stefan Kobza
Dr. Alexandra Korzeczek
Laura Krabbe
Judith Kratel
Dr. Marc Krause
Christopher Kunigkeit
Jessica Lange
Jessica Metzing
Dr. Ulrike Paschen
Georgia Pick
Dr. med. Min Ripoll
Dr. Kevin Rudolf
Dominik Schierbaum
Sonja Schiller
Dr. rer. medic. Ulrich Siering
Julia Kristin Ströhlein
Dr. phil. Corinna ten Thoren
Dr. Sarah Thys
Bich Van Vilaysane-Nguyen
Franziska Vosseberg
Carolin Weigel
Maike Wilhelms
Kathrin Wohlhöfner
Pamela Wronski
Nina Wünst