{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T08:01:59Z","timestamp":1777363319966,"version":"3.51.4"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T00:00:00Z","timestamp":1594339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T00:00:00Z","timestamp":1594339200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009708","name":"Novo Nordisk Fonden","doi-asserted-by":"publisher","award":["NNF17SA0027784"],"award-info":[{"award-number":["NNF17SA0027784"]}],"id":[{"id":"10.13039\/501100009708","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009708","name":"Novo Nordisk Fonden","doi-asserted-by":"publisher","award":["NNF17SA0027784"],"award-info":[{"award-number":["NNF17SA0027784"]}],"id":[{"id":"10.13039\/501100009708","id-type":"DOI","asserted-by":"publisher"}]},{"name":"- Strategy 2023 funds at University of Copenhagen (Data + grants) - Wallenberg Foundations\u2019 \u2018Initiative for Humanistic and Social Scientific Research in AI and Autonomous Systems\u2019"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["npj Digit. Med."],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Reimbursement is a key challenge for many new digital health solutions, whose importance and value have been highlighted and expanded by the current COVID-19 pandemic. Germany\u2019s new <jats:italic>Digital Healthcare Act<\/jats:italic> (Digitale\u2013Versorgung\u2013Gesetz or DVG) entitles all individuals covered by statutory health insurance to reimbursement for certain digital health applications (i.e., insurers will pay for their use). Since Germany, like the United States (US), is a multi-payer health care system, the new Act provides a particularly interesting case study for US policymakers. We first provide an overview of the new German DVG and outline the landscape for reimbursement of digital health solutions in the US, including recent changes to policies governing telehealth during the COVID-19 pandemic. We then discuss challenges and unanswered questions raised by the DVG, ranging from the limited scope of the Act to privacy issues. Lastly, we highlight early lessons and opportunities for other countries.<\/jats:p>","DOI":"10.1038\/s41746-020-0306-7","type":"journal-article","created":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T10:04:06Z","timestamp":1594375446000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":161,"title":["Germany\u2019s digital health reforms in the COVID-19 era: lessons and opportunities for other countries"],"prefix":"10.1038","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5718-3982","authenticated-orcid":false,"given":"Sara","family":"Gerke","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3586-1041","authenticated-orcid":false,"given":"Ariel D.","family":"Stern","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3286-4888","authenticated-orcid":false,"given":"Timo","family":"Minssen","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2020,7,10]]},"reference":[{"key":"306_CR1","unstructured":"Baca, M., Cacozza, A., Combs, K., Gersh, D., McNicholas, E. & Moundas, C. 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A better path to universal health care. https:\/\/www.nytimes.com\/2019\/02\/20\/opinion\/health-care-germany.html (2019)."},{"key":"306_CR5","unstructured":"Gesetz f\u00fcr eine bessere Versorgung durch Digitalisierung und Innovation (Digitale-Versorgung-Gesetz\u2014DVG) [Digital Healthcare Act] of 9 December, BGBl I at 2562 (Germany, 2019)."},{"key":"306_CR6","unstructured":"Deutscher Bundestag. Drucksache 19\/13438, Gesetzesentwurf der Bundesregierung, Entwurf eines Gesetzes f\u00fcr eine bessere Versorgung durch Digitalisierung und Innovation (Digitale-Versorgung-Gesetz \u2013 DVG). https:\/\/dip21.bundestag.de\/dip21\/btd\/19\/134\/1913438.pdf (2019)."},{"key":"306_CR7","unstructured":"GermanyHIS. German healthcare statistics. https:\/\/www.germanyhis.com\/german-healthcare-statistics (2020)."},{"key":"306_CR8","unstructured":"GKV Spitzenverband. 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