ARTICLE SUMMARY:
Digital health innovation carries challenges not only in technology, but also in understanding new payment and reimbursement models for a broad range of products and services. Here are some keys to mastering these new pathways and achieving commercial success in this space. By Sarah Fox, Windham Capital.
Digital health technologies comprise a variety of innovative products and services, including mobile health apps, wearable devices, telemedicine platforms, and software and devices that utilize artificial intelligence (AI) and machine-learning (ML) algorithms to increase the precision, accuracy, and personalization of healthcare. These technologies have tremendous potential to transform healthcare around the world by increasing access to care, improving adherence to treatments that enable better patient outcomes, reducing inefficiencies and costs, empowering individuals to take a more active role in their health, and delivering holistic care that can keep people healthy and reduce the risk of disease development and progression.
Despite this transformative potential, adoption of digital health technologies is low. This is driven in large part by limited coverage and reimbursement of these technologies by the Center for Medicare and Medicaid Services (CMS) and the many private insurance carriers that follow the agency’s lead.