Digital Act (DigiG) gives telemedicine a necessary boost

Telemedicine has the potential to sustainably improve care in Germany — while maintaining high medical quality. Among other things, it can help to compensate for supply shortages in rural areas or make high-quality medicine much more easily accessible to patients. We therefore see it as a positive sign that the new Digital Act (DigiG) is setting a significant course for telemedicine: The abolition of the 30 percent limit for telemedicine services marks a particularly important step that makes the permanent discrimination against this form of service a thing of the past. Instead of limiting compensation options across the quantity, as has been the case up to now, medical remuneration could be based on quality criteria, such as integration into other care or structured care processes.
We also regard the admission of new service providers, for example through assisted telemedicine in pharmacies, as an important step forward in relieving analog care through telemedicine offerings and sustainably improving access to care in rural regions. In order for telemedicine to be able to provide even greater added value in the future, we believe that the following adjustments are necessary:
- Telemedicine is more than video consultations: The newly created regulations in DigiG should include all telemedicine services, including video case conferences, telemedicine consultations, radiological assessment of findings or telemedical monitoring, as well as telemedical interactions and functional checks.
- Connection to a placement system: The KBV's planned interface for arranging telemedicine services must not exclude existing providers. It must not only be open to connecting all contract doctors, but also to all providers who already offer telemedicine services with their platforms and services.
- Provide information about telemedicine: Effective promotion of telemedicine requires that information can be provided about these services. However, due to the advertising ban, as currently exists in § 9 HWG, this is not possible. Instead, this hinders the widespread introduction of telemedicine because it prohibits both family doctors and specialists, pharmacists and other service providers from providing information about their telemedicine services. The advertising ban and the associated Section 9 HWG must therefore be deleted.
- Improved telemedicine services via selective contracts: To date, Section 140a SGB V provides that, insofar as diagnostic findings are made as part of digital care offerings, doctors must be included in the contracts for this purpose. In order to ensure care, particularly in rural regions and in view of demographic change, doctors from digital service providers should also be involved.
Telemedicine services can make a decisive contribution to solving the challenges of the future for society as a whole: Fewer and fewer doctors are already having to care for more and more patients. The new features for telemedicine included in DigiG mark important improvements: They give telemedicine the necessary boost so that it exists in the future as an integral part of digitally supported, sustainable care.
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