An Approach to Value-Based Pricing for Digital Health Applications in Germany

n December 2019, legislative changes established a fast-track market access and pricing process for digital health applications (DiGAs) in the German statutory health insurance (SHI). Accordingly, after one year of free pricing by manufacturers, DiGA prices must account for the applications’ positive healthcare effects (pVE) in terms of a medical benefit or improvements in care structure and processes. However, the regulations do not indicate how the patient-relevant benefits of a DiGA should be translated into a reasonable, value-based price. Therefore, this study aims to present and discuss an approach for the practical implementation of value-based DiGA pricing.