The Techniker Krankenkasse (TK) in Saxony has raised concerns about the effectiveness and pricing of digital health applications (DiGA). These apps can be prescribed by doctors to support patients with certain conditions such as depression or obesity. After receiving a prescription, insured individuals are given a code to access the app. However, TK boss Alexander Krauß has stated that many DiGAs have questionable benefits or lack proof of effectiveness. Additionally, he highlights the need for improved pricing, suggesting that the cost should be based on the price of analog therapy.
The association of statutory health insurance companies has also criticized DiGAs for their high prices. The range for one application per quarter can vary from 119 euros to 2,077 euros, with an average price of 526 euros. However, the legislator is working on defining success criteria that will influence the pricing of DiGAs. This is part of the digital law, which aims to regulate and improve the use of digital health applications. The TK in Saxony has received a total of 1842 applications for DiGAs, with popular choices being apps for back pain, tinnitus treatment, and obesity support.
The Federal Office for Drugs and Medical Devices (BfArM) is responsible for checking and listing health apps in the DiGA directory. Once listed, health insurance companies must reimburse the cost of these apps. Going forward, doctors will have the authority to decide which apps can be prescribed. Currently, there are 47 health apps listed in the DiGA directory, with six being removed due to a lack of effectiveness. Additionally, the second major DiGA manufacturer has declared insolvency after negotiations with the National Association of Statutory Health Insurance Funds.
Data protection incidents have also been a concern with some DiGAs. Several apps, such as Edupression, Deprexis, and Novego, have had privacy issues in the past. The digital diary for cancer patients, Cankado, was removed from the BfArM directory due to security gaps. In response to these incidents, the BfArM has introduced new test criteria for DiGAs and digital care applications in September 2022.
