Verhandlungsverzögerungen bei DiGA-Preisen
Definition
Behavioral health DiGAs have free pricing in year 1, then negotiated; slow claims processes lead to unbilled services during arbitration periods.
Key Findings
- Financial Impact: 2-5% revenue leakage during 12+ month pricing negotiations
- Frequency: From 13th month post-listing per DiGA
- Root Cause: Provisional listing with evidence deadlines; manual claims not aligned with reimbursement timelines
Why This Matters
This pain point represents a significant opportunity for B2B solutions targeting Mental Health Care.
Affected Stakeholders
DiGA-Hersteller, Mental Health App Providers, Verordnende Ärzte
Deep Analysis (Premium)
Financial Impact
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Current Workarounds
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Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Related Business Risks
Verzögerte Abrechnung von DiGA-Leistungen
Fehlerhafte OPS-Codierung in Verhaltenstherapie-Abrechnungen
DSGVO-Bußgelder bei Verletzung der Schweigepflicht in der Suchttherapie
Zeitknappheit bei Patientenkontakten durch Koordinationsaufgaben
Bürokratische Overhead-Kosten für Schweigepflicht-Compliance
Kostspielige Behandlungs-Readmission durch Koordinationsdefizite
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