{"id":99284,"date":"2026-05-08T01:08:16","date_gmt":"2026-05-08T01:08:16","guid":{"rendered":"https:\/\/mybusinessfuture.com\/diga-verguetungsreform-epa-rollout-wachstumsmarkt-it\/"},"modified":"2026-11-03T17:19:57","modified_gmt":"2026-11-03T17:19:57","slug":"diga-verguetungsreform-epa-rollout-wachstumsmarkt-it","status":"publish","type":"post","link":"https:\/\/mybusinessfuture.com\/en\/diga-verguetungsreform-epa-rollout-wachstumsmarkt-it\/","title":{"rendered":"DiGA and ePA: Opportunities for IT service providers"},"content":{"rendered":"<p style=\"display:inline-block;background:#c0392b;color:#fff;padding:4px 14px;border-radius:20px;font-size:0.85em;margin-bottom:18px;\">4 min read<\/p>\n<p style=\"font-size:0.85em;color:#6b7075;margin:0 0 18px;\">Updated 3 November 2026 \u00b7 Originally published 8 May 2026<\/p>\n<p><strong>The electronic patient record has become part of everyday healthcare across Germany. Certain digital health applications also have dedicated billing codes for medical services. This creates potential work for IT service providers in interfaces, testing and integration with practice software. Whether that leads to a contract depends on the specific needs and requirements of each client.<\/strong><\/p>\n<div style=\"background:#202528;color:#fff;padding:32px 36px;margin:32px 0;border-radius:8px;\">\n<p style=\"margin:0 0 18px 0;font-size:0.95em;font-weight:800;text-transform:uppercase;letter-spacing:0.2em;color:#e8828d;border-bottom:2px solid rgba(232,130,141,0.3);padding-bottom:12px;\">Key points at a glance<\/p>\n<ul style=\"margin:0;padding-left:22px;color:rgba(255,255,255,0.92);line-height:1.6;\">\n<li style=\"margin-bottom:12px;\"><strong style=\"color:#e8828d;\">The ePA is used in healthcare.<\/strong> Healthcare providers are required to use it. Insured people can opt out of having a record.<\/li>\n<li style=\"margin-bottom:12px;\"><strong style=\"color:#e8828d;\">DiGA reimbursement depends on the application.<\/strong> Dedicated billing codes for monitoring and evaluation exist for certain applications.<\/li>\n<li><strong style=\"color:#e8828d;\">Technical requirements must be assessed individually.<\/strong> The ePA medication service and document management use different interfaces.<\/li>\n<\/ul>\n<\/div>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">What the ePA means for practice software providers<\/h2>\n<p>The ePA for everyone launched nationwide on 29 April 2025. Since 1 October 2025, doctors and other healthcare providers have been required to use it. For insured people, use remains voluntary. They can object to the creation of a record or its subsequent use, explains the <a href=\"https:\/\/www.bundesgesundheitsministerium.de\/epa-na-sicher\">Federal Ministry of Health<\/a>.<\/p>\n<p>For a software project, this difference makes one practical scenario relevant: a practice may need the ePA in its workflow while no usable record exists for a person receiving treatment. The interface and internal processes should handle such cases clearly. Nor can the number of actively used records be inferred from the number of people with statutory health insurance.<\/p>\n<p><strong>What is a primary system?<\/strong> In the ePA context, the term refers to the software an organisation uses to access patient record functions, such as a practice management system.<\/p>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">Which DiGA services are reimbursed<\/h2>\n<p>Digital health applications, known as DiGA, support care for certain conditions. Which additional medical or psychotherapeutic services are reimbursed depends on the application and the applicable billing rules.<\/p>\n<p>The <a href=\"https:\/\/www.kbv.de\/praxis\/verordnungen\/diga\">National Association of Statutory Health Insurance Physicians<\/a> lists individual billing codes for this purpose. For the application \u201cInvirto\u201d, for example, it describes a code for monitoring and evaluation with requirements governing which medical specialities may bill for it. These codes do not provide general reimbursement for all support provided for every DiGA.<\/p>\n<p>The 2024 Uniform Assessment Standard already included codes for monitoring and evaluating individual applications. A blanket new entitlement to reimbursement from April 2026 cannot be inferred from this. For manufacturers and their IT partners, the starting point is therefore the specific care process for each application.<\/p>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">Where interface work arises<\/h2>\n<p>The <a href=\"https:\/\/gemspec.gematik.de\/docs\/gemILF\/gemILF_PS_ePA\/latest\/\">gematik implementation guide<\/a> describes different ePA interfaces. For the medication service, it specifies FHIR interfaces for managing the medication list and medication plan. For document management, it describes a profile of the IHE XDS.b standard. Anyone planning an integration must therefore check the specific use case and the specifications that apply to it.<\/p>\n<p>A second point to check is access rights. According to the guide, the record system checks an organisation\u2019s authorisation to access it. If authorisation is absent or has been withdrawn, content cannot be read and documents cannot be uploaded. For development, this means that tests should also cover denied access and appropriate messages for practice staff.<\/p>\n<p>In the guide, gematik refers to a model of the ePA record system for development and testing. Such a model can help with preparation. Any further tests and evidence required for a specific product must be established for the relevant product type.<\/p>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">How service providers can assess potential contracts<\/h2>\n<p>From an editorial perspective, three potential starting points are integration with practice software, technical support for DiGA manufacturers and assessment of individual procurement opportunities. These do not establish a proven volume of contracts or a guarantee of future projects.<\/p>\n<p>Before submitting a proposal, service providers should identify the client and the product concerned. Does the project involve displaying a medication list, exchanging documents or providing a function within a DiGA? The interfaces, access rights and tests depend on the answer. For a tender, the scope of services, qualification requirements and deadlines are also set out in the relevant procurement documents.<\/p>\n<p>For cost estimates, it is useful to clarify responsibilities early: Who provides the test environment? Who handles the clinical side and who checks the implementation? These questions make the workload easier to assess than a blanket assumption about a rapidly growing market.<\/p>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">Frequently asked questions<\/h2>\n<details>\n<summary><strong>Do insured people have to use the electronic patient record?<\/strong><\/summary>\n<p style=\"margin:8px 0 4px 24px;color:#555;line-height:1.6;\">No. Insured people can object to the creation and subsequent use of an ePA. Separate obligations to use it apply to healthcare providers.<\/p>\n<\/details>\n<details>\n<summary><strong>Is support for every DiGA reimbursed separately?<\/strong><\/summary>\n<p style=\"margin:8px 0 4px 24px;color:#555;line-height:1.6;\">There is no blanket answer. The KBV lists dedicated codes for certain applications and describes the requirements for each one.<\/p>\n<\/details>\n<details>\n<summary><strong>Do all ePA interfaces use the same standard?<\/strong><\/summary>\n<p style=\"margin:8px 0 4px 24px;color:#555;line-height:1.6;\">The gematik guide distinguishes between interfaces including FHIR interfaces for the medication service and IHE XDS.b for document management. The specific use case determines which applies.<\/p>\n<\/details>\n<h2 style=\"padding-top:64px;margin-bottom:20px;\">Recommended reading<\/h2>\n<ul>\n<li><a href=\"https:\/\/mybusinessfuture.com\/en\/s-4hana-migration-smes-2026-before-decision\/\">S\/4HANA migration: German SMEs face a decision in 2026<\/a><\/li>\n<li><a href=\"https:\/\/mybusinessfuture.com\/ki-im-erp-mittelstand-nutzen\/\">Zuerst Daten bereinigen, dann die ERP-KI kaufen<\/a><\/li>\n<li><a href=\"https:\/\/mybusinessfuture.com\/en\/german-banks-flunk-stress-tests\/\">The stress tests German banks are currently failing<\/a><\/li>\n<\/ul>\n<p style=\"padding-top:36px;margin:44px 0 18px;font-weight:700;font-size:1.05em;color:#1a1a1a;\">More from the MBF Media network<\/p>\n<div style=\"padding:14px 18px;border:1px solid #e5e5e5;border-radius:8px;background:#fafafa;margin-bottom:6px;\">\n<div style=\"font-size:0.7em;font-weight:700;color:#0bb7fd;text-transform:uppercase;letter-spacing:0.12em;margin-bottom:4px;\">cloudmagazin<\/div>\n<p><a href=\"https:\/\/www.cloudmagazin.com\/en\/2026\/05\/03\/amazon-bedrock-agentcore-cli-deployment-ki-agenten\/\" style=\"font-weight:600;line-height:1.4;color:#1a1a1a;text-decoration:none;\">Amazon Bedrock AgentCore: CDK deployment and A\/B testing for AI agents in enterprise production<\/a><\/p>\n<\/div>\n<div style=\"padding:14px 18px;border:1px solid #e5e5e5;border-radius:8px;background:#fafafa;\">\n<div style=\"font-size:0.7em;font-weight:700;color:#d65663;text-transform:uppercase;letter-spacing:0.12em;margin-bottom:4px;\">digital-chiefs<\/div>\n<p><a href=\"https:\/\/www.digital-chiefs.de\/en\/hannover-messe-2026-industrie-5-0-cio-infrastruktur\/\" style=\"font-weight:600;line-height:1.4;color:#1a1a1a;text-decoration:none;\">Hannover Messe 2026: Industry 5.0 as a CIO investment framework for DACH<\/a><\/p>\n<\/div>\n<p style=\"text-align:right;color:#5f5f5f;font-size:0.85em;margin-top:48px;\"><em>Image source: AI-generated (November 2026)<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Electronic patient records and digital health applications place different demands on IT providers. Where service providers can find opportunities.<\/p>\n","protected":false},"author":151,"featured_media":115001,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_focuskw":"DiGA reimbursement reform opportunities","_yoast_wpseo_title":"DiGA and ePA: Opportunities for IT service providers","_yoast_wpseo_metadesc":"The ePA and digital health applications offer IT service providers possible starting points. Interfaces and access rights are decisive.","_yoast_wpseo_meta-robots-noindex":"","_yoast_wpseo_meta-robots-nofollow":"","_yoast_wpseo_meta-robots-adv":"","_yoast_wpseo_canonical":"","_yoast_wpseo_opengraph-title":"","_yoast_wpseo_opengraph-description":"","_yoast_wpseo_opengraph-image":"https:\/\/mybusinessfuture.com\/wp-content\/uploads\/2026\/05\/diga-verguetungsreform-epa-rollout-wachstumsmarkt-it-dienstleister-2026-cover-hero.jpg","_yoast_wpseo_opengraph-image-id":0,"_yoast_wpseo_twitter-title":"","_yoast_wpseo_twitter-description":"","_yoast_wpseo_twitter-image":"https:\/\/mybusinessfuture.com\/wp-content\/uploads\/2026\/05\/diga-verguetungsreform-epa-rollout-wachstumsmarkt-it-dienstleister-2026-cover-hero.jpg","_yoast_wpseo_twitter-image-id":0,"featured_post_sortierung":0,"featured_post":0,"pre_headline":"","bildquelle":"","teasertext":"","language":"de","_evm_slot_owner":"","_evm_translation_lang":"","_wp_old_slug":[],"footnotes":""},"categories":[1146],"tags":[],"class_list":["post-99284","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-life-sciences-health-care","entry"],"evm_reading_time_minutes":5,"wpml_language":"en","wpml_translation_of":99011,"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>DiGA and ePA: Opportunities for IT service providers<\/title>\n<meta name=\"description\" content=\"The ePA and digital health applications offer IT service providers possible starting points. 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