2022年在德国引入数字健康应用程序的最高报销价格:当前的发展情况
Hendrikje Rödiger1, Reinhard Busse2, Cornelia Henschke3
1Technische Universität Berlin, Department of Health Care Management, Germany.
Health policy (Amsterdam, Netherlands)
|March 8, 2025
概括
德国 德国 德国 德国
科学领域:
- 卫生经济学 卫生经济学
- 数字健康政策 数字健康政策
- 医疗保健创新 医疗保健创新
背景情况:
- 2020年10月,德国率先将数字健康应用 (DiGA) 整合到法定医疗保险 (SHI) 中.
- 制造商最初的免费定价导致了DiGA的高成本.
- 政策辩论导致了最高补偿价 (MRP) 的实施.
研究的目的:
- 分析MRP实施后德国DiGA的报销和定价格格景观的变化.
- 描述确定DiGA的报销价格的过程.
- 提出并批判性地评估MRP的初步结果和利益相关者的观点.
主要方法:
- 对德国DiGA的报销和定价框架的分析.
- 在引入MRP后,对初始结果的审查.
- 纳入利益相关者对MRP影响的看法.
主要成果:
- 在最初的1.5年里,只有四个DiGA获得了产品特定的MRP.
- 对于这三个DiGA,制造价格仍然低于确定的MRP.
- 目前对SHI的成本影响很小,但未来增加的潜力存在于更多的DiGA.
结论:
- 目前的MRP系统对SHI成本产生了有限的直接影响.
- 确定需要对定价机制进行系统和透明的调整.
- 为了平衡DiGA的好处,SHI的支出和创新促进,需要不断完善政策.
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