DiGA prescriptions binding for health insurers
The German Medical Technology Association (BVMed) has welcomed the clarification by the Federal Social Security Office (BAS) that medical prescriptions of digital health applications (DiGA) are binding for health insurers. "This is good news for patients and removes the uncertainty prevailing in the market," explains BVMed outpatient expert Juliane Pohl.
The Federal Office refers to the legal regulation on the product-related prescription of a DiGA, the determination of the DiGA price system at the level of the umbrella association and the list kept as a positive list at the BfArM. This had created an exception to the principle that the provision of a benefit in kind is dependent on the prior determination of the health insurance fund's obligation to provide benefits, i.e., an authorisation.