International digital health systems

How to obtain reimbursement for digital health solutions in different countries? Find out about the steps and points of contact of other digital healthcare systems.

Pioneering reimbursement of digital innovation and health applications

  • The German healthcare system is financed through a system of compulsory public and private insurance. The health insurance funds are the key players, although they operate within a legal framework set by the federal state and implemented by the 16 regions (Länder).
  • It is the first country to have implemented a "fast track" for reimbursement of mobile applications (DiGA)

Several initiatives to drive the digital transformation of healthcare

  • At the European level, the country is very actively involved in major health information projects 
  • is the platform to facilitate and standardise the registration of health data

Five regions organising and providing care

  • Health databases are at the heart of the national dematerialised and secure platform
  • Several dedicated agencies, including the national investment agency Invest in Danemark, are driving the development of digital health innovation in the country

Health competence is given to the 17 autonomous communities

  • Each autonomous community defines its own health and innovation policy, and together, that of Spain.
  • The private sector plays an important role in the country and plays a key role in health innovation.

A pioneering country in the field of digital health

  • It reconciles e-health and security 
  • The Connected Health Cluster, part of the Tallinn Science Park Tehnopol, is the first innovation centre for digital health.

A close collaboration between the State and the digital health ecosystem

  • Digital health and innovation in Finland is the responsibility of the state, which works closely with the health industries, health institutions and universities. 
  • A system of test beds allows innovators to test their products directly on devices in Finnish hospitals. 
  • Findata is the one-stop guichet for Finnish health and social data.

A universal, centrally regulated and territorially structured health system

  • The financing and delivery of services is provided by a mixed system, comprising a national health service (NHS), employment-based health insurance and private providers. There are seven administrations responsible for coordinating and implementing health policies and actions in their areas of responsibility.
  • Several health clusters and innovation and research centres are available to support entrepreneurs and facilitate market awareness.

A competitive public-private healthcare market with a large number of health insurance funds

  • Basic health insurance is mandatory for all citizens. The social insurance system consists of 11 funds. 
  • The Zorgvoorinnoveren (“Care to innovate”) platform helps entrepreneurs navigate the Dutch digital health ecosystem and explore available funding opportunities.  

Innovation is fostered by a dynamic ecosystem of R&D and entrepreneurship

The Health Cluster Portugal, composed of 223 stakeholders representing the Portuguese health ecosystem, contributes to the success of the national health innovation policy.

A public and decentralised health system

Innovation in Sweden is driven by the close collaboration of public sector actors with private and academic actors in 7 regions.


What the experts say