The implementation of the Digital Healthcare Act (Digitale-Versorgung-Gesetz, DVG) on December 19, 2019, represents a seminal moment in the history of European health technology. By establishing the world’s first formal reimbursement pathway for digital health applications (Digitale Gesundheitsanwendungen, DiGA), Germany effectively transformed software into a regulated medical intervention on par with traditional pharmaceuticals. Seven years on, the ecosystem has moved thro