Exploring Digital Health Reimbursement Strategies Across Europe and Israel

by Odelle Technology

In an era marked by technological advancements and the increasing integration of digital solutions into healthcare, understanding the reimbursement landscape for digital health interventions is crucial. Across Europe and Israel, various countries have implemented diverse strategies to facilitate the adoption of digital health technologies and ensure equitable access to innovative healthcare solutions. In this comprehensive overview, we delve into the digital health reimbursement strategies of eight European countries and Israel, shedding light on the policies and frameworks shaping the reimbursement landscape.


Germany has emerged as a frontrunner in digital health innovation, spearheading initiatives to promote the adoption of digital health solutions. One notable program is the Fast-Track process for digital health applications (DiGA), established under Section 139e of the Social Code Book V (SGB V). Through this process, digital health applications meeting specified criteria can attain reimbursement status, enabling healthcare providers to prescribe them to patients. The Federal Institute for Drugs and Medical Devices oversees the evaluation and approval of DiGA, ensuring that approved applications meet stringent standards of safety, efficacy, and data protection.


In France, the reimbursement of digital health interventions is governed by a framework that emphasizes the evaluation of clinical effectiveness and economic value. The French Ministry of Health and Prevention has implemented the PECAN (Early Access to Reimbursement for Digital Devices) program, which enables the expedited reimbursement of innovative digital devices. Under this program, manufacturers can apply for reimbursement earlier in the product lifecycle, facilitating timely access to new technologies for patients. Additionally, guidelines for telemedicine services outline functional requirements and service levels, ensuring the quality and safety of digital health interventions.

The Netherlands

The Netherlands has embraced digital health as a means of enhancing healthcare delivery and improving patient outcomes. The Dutch Healthcare Authority (NZa) plays a pivotal role in determining reimbursement policies for digital health interventions. Wegwijzer bekostiging digitale zorg 2023 provides guidance on the reimbursement of digital healthcare services, outlining the criteria and processes for reimbursement eligibility. By establishing clear pathways for reimbursement, the Netherlands aims to incentivize the development and adoption of innovative digital health solutions.


Poland has witnessed significant strides in the integration of digital health technologies into its healthcare system. Regulatory frameworks, such as the Regulation of the Minister of Health on guaranteed services in primary health care, delineate the scope of reimbursable healthcare services, including digital health interventions. Moreover, initiatives like the Program Rozwoju e-Zdrowia na lata 2022-2027 (Development Program for e-Health for the years 2022-2027) underscore Poland’s commitment to leveraging digital innovation to enhance healthcare accessibility and quality.


In Israel, digital health reimbursement strategies are guided by principles of equity, efficiency, and innovation. The Israeli healthcare system embraces digital technologies to improve care delivery and patient engagement. While specific reimbursement mechanisms may vary, Israel prioritizes the evaluation of digital health solutions based on their clinical efficacy, cost-effectiveness, and potential impact on population health. By fostering collaboration between stakeholders and leveraging real-world evidence, Israel aims to harness the full potential of digital health to address emerging healthcare challenges.


Sweden has been at the forefront of digital health innovation, implementing policies to promote the adoption of digital technologies in healthcare delivery. The Swedish Association of Local Authorities and Regions (Sveriger Kommuner och Regioner) oversees reimbursement policies for digital health services in primary care. By providing reimbursement for digital health interventions, Sweden aims to improve access to healthcare services, enhance patient outcomes, and optimize healthcare resource utilization.

United Kingdom (England)

The United Kingdom, particularly England, has embraced digital health as a means of modernizing healthcare delivery and improving patient care. The National Health Service (NHS) England has implemented the MedTech funding mandate, which promotes the adoption of innovative medical technologies, including digital health solutions, within the NHS. Through initiatives like the AAC (Accelerated Access Collaborative), NHS England aims to facilitate the uptake of digital health innovations by providing support and guidance to healthcare providers and commissioners.


Italy has made significant strides in advancing digital health initiatives to improve healthcare delivery and patient outcomes. The Italian Ministry of Health oversees reimbursement policies for digital health interventions, ensuring that innovative technologies meet the necessary standards of safety, efficacy, and quality. By providing reimbursement for digital health solutions, Italy aims to enhance access to healthcare services, promote patient-centred care, and address emerging healthcare challenges.


Digital health reimbursement strategies play a pivotal role in shaping the adoption and diffusion of innovative healthcare technologies. Across Europe and Israel, countries are actively exploring novel approaches to facilitate the reimbursement of digital health interventions, ensuring equitable access to cutting-edge healthcare solutions. By embracing innovation, fostering collaboration, and prioritizing patient-centred care, these countries are poised to harness the transformative power of digital health to enhance health outcomes and promote population well-being.

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