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Getting Reimbursed for Digital Health

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Digital Health Entrepreneurship

Part of the book series: Health Informatics ((HI))

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Abstract

Reimbursement should not be an afterthought when developing a digital health service; it should be thought of early in the development process to be successful. Successful reimbursement can be a critical driver to the success of your digital health product. Obtaining insurance reimbursement from a commercial or government payor may seem complicated or an obstacle too complex and cumbersome to overcome. Developing an appropriate reimbursement strategy can be the answer to solving your product’s reimbursement struggles or paving the way to early success. Please do not make the dreaded error of waiting until after your regulatory submission to start thinking about reimbursement; by this time, it may be too late. The three elements of any successful reimbursement strategy are coding, coverage, and payment.

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Notes

  1. 1.

    Centers for Medicare and Medicaid Services (2018) Medicare Consumer Information. https://www.medicare.gov/sign-up-change-plans/decide-how-to-get-medicare/whats-medicare/what-is-medicare.html, Accessed 1 Aug 2018.

  2. 2.

    Centers for Medicare and Medicaid Services (2018) Medicare Coverage Determination Process. https://www.cms.gov/Medicare/Coverage/DeterminationProcess/index.html, Accessed 1 Aug 2018.

  3. 3.

    Centers for Medicare and Medicaid Services (2018) How to Request an NCD. https://www.cms.gov/Medicare/Coverage/DeterminationProcess/howtorequestanNCD.html, Accessed 1 Aug 2018.

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Correspondence to David D. Davis .

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Davis, D.D. (2023). Getting Reimbursed for Digital Health. In: Meyers, A. (eds) Digital Health Entrepreneurship. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-031-33902-8_7

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  • DOI: https://doi.org/10.1007/978-3-031-33902-8_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-33901-1

  • Online ISBN: 978-3-031-33902-8

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