Report names Europe’s digital well being app reimbursement leaders and laggards


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The reimbursement channel for digital well being apps in Europe has historically been lengthy and sophisticated. 

However new evaluation from Research2Guidance (R2G) predicts reimbursement alternatives will enhance considerably over the subsequent few years.

An R2G report has categorised European international locations into teams of leaders, quick followers, certifiers and laggards, based mostly on their public medical insurance system’s reimbursement course of standing.

Main the way in which are Germany, Belgium and France which have standardised reimbursement processes in place or quickly to be launched. 

Quick followers are Italy, Netherlands, Austria, Finland, Eire, Luxembourg, Sweden, Denmark, and Switzerland, which have expressed curiosity in implementing standardised reimbursement processes sooner or later.

Certifiers embody Spain (Andalucía area), Portugal, and the UK, which prioritise certification over permitting direct entry to the statutory reimbursement system.

The remaining EU international locations are categorised as laggers, which present no indicators of implementing a reimbursement framework quickly. These embody Estonia, Hungary, Croatia, Greece, Latvia, Poland, Bulgaria, Slovakia, Lithuania, Malta, Czech Republic, Republic of Cyprus, Romania, Norway and Iceland.


Up to now there was no standardised course of in place for digital well being distributors to get their apps prescribed by healthcare suppliers in Europe, as there may be for brand new medicine or medical gadgets. Nevertheless, that is now altering.

Based on R2G, an EU go-to-market plan for a digital well being app should issue within the nation’s stage of standardised reimbursement processes to keep away from ineffective useful resource allocation.


Germany’s Digital Well being Functions (DiGA) Quick-Monitor course of, created underneath the 2019 Digital Healthcare Act, permits apps to be prescribed by docs and the prices reimbursed by way of German medical insurance. 

App suppliers should show to the federal Institute for Medicine and Medical Gadgets (BfArM) that their options can enhance affected person care. There are greater than 28 accredited apps so far, with the Cara Care app for gastroenterological points most lately added to the listing.

Belgium additionally introduced in January 2021 that it will launch a digital well being app reimbursement scheme. Apps which are CE-marked as a medical system are listed on the mHealthBelgium platform, which centralises related and required info for sufferers, healthcare professionals and healthcare establishments.

In October 2021, French president Emmanuel Macron introduced plans to observe in Germany’s footsteps by making digital therapeutics out there on prescription by way of the statutory well being system. A standardised, DiGA reproduction is anticipated to be launched in 2022.


Vibhindika Chawla, digital well being analyst and advisor, R2G, mentioned: “In Europe, getting your digital well being answer reimbursed remains to be the gold normal for monetisation. It’s good to see that EU international locations are following the instance of Germany and constructing standardised reimbursement processes for digital well being apps. Belgium and France are essentially the most superior. It’s going to take some time till digital well being firms can depend on important income sources from the reimbursement channel. Different channels are nonetheless related.”

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