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Reimbursement of Digital Health Applications

By the Digitale-Versorgungs-Gesetz (DVG; Digital Healthcare Act), the reimbursement of digital health applications (DiGA), also known as medical apps, by the German statutory health insurance is possible. Ecker + Ecker provides advice on multiple aspects of DiGA reimbursement with the following services:

 

Reimbursement strategy

  • Review of requirements as per German Social Code (SGB V), § 139e, para. 2, sentence 2
  • Analysis of studies required to prove positive healthcare effects on medical treatment
  • Early advice with involvement of BfArM

 

Support and review of reimbursement

  • Supporting the listing in the DiGA directory to be set up by BfArM as per SGB V, § 139e
  • Compilation of application documents for the assessment of the reimbursement
  • Analysis of ongoing assessment procedures

 

Generation of evidence

  • Evaluation of available studies
  • Evaluation and development of study designs
  • Preparation of SAP

 

Negotiation of reimbursement price

  • Negotiation of reimbursement price with the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband, GKV-SV)
  • Support in potential arbitration procedures
  • Price modelling
  • Concepts for direct contracts with health insurance funds

 

DiGA Quick-Check    

 

 

Please contact

Dr. Claudia Pütz

Dr. Claudia Pütz
Phone +49 (40) 41 33 081-12
diga(at)ecker-ecker.de