Market Access & HEOR

Market Access
& HEOR

Market access strategy, HAS/CEESP health economics files, CEPS negotiation and post-listing studies. Our models are grounded in French real-world data from the SNDS and our specialised EDS.

20+
Pharma clients
10+
HAS files supported
13
Therapeutic areas
5+
Health economics models

Health economics analyses for every stage of the product lifecycle

From burden of disease to post-listing studies, we produce the evidence that supports your market access strategy with HAS and CEPS.

Burden of disease

Estimation of prevalence, incidence, mortality, direct costs (hospitalisations, treatments, chronic conditions) and indirect costs (sick leave, productivity loss). Basis for quantifying unmet medical need and the target population.

Budget impact analysis

3 to 5-year projection of the financial impact on the French National Health Insurance of introducing your product. Modelling of market shares, penetration rates, therapeutic switches and generated savings. Key deliverable for the CEPS.

Cost-effectiveness & cost-utility analyses

Markov models, microsimulations, decision trees. Calculation of the incremental cost-effectiveness ratio (ICER) and QALYs. CEESP deliverables compliant with the HAS methodological guide.

Reimbursement dossiers

Drafting of reimbursement applications (SMR/ASMR for the CT, health economics section for the CEESP), CNEDIMTS files for medical devices, renewal applications and post-listing studies.

Meeting the expectations of each authority

Each file meets the specific requirements of the authority evaluating it. Our in-depth knowledge of their assessment frameworks maximises your chances of success.

HAS — Transparency CommitteeSMR and ASMR assessment

The CT assesses the Medical Benefit (SMR) and the improvement in SMR (ASMR) of your product. It takes into account disease severity, efficacy, adverse effects, place in the therapeutic strategy and public health interest.

  • Transparency file: pivotal data, relevant comparator, meta-analyses
  • Unmet medical need: quantified on real SNDS data
  • Target population: estimated from Clinityx phenotyping algorithms
  • Supplementary RWE data to strengthen generalisability

HAS — CEESPHealth economic evaluation

The Commission for Economic Evaluation and Public Health delivers an efficiency opinion on products claiming an ASMR I, II or III. It assesses the methodological quality of the health economic model and the robustness of the parameters.

  • Models compliant with the HAS methodological guide (2020)
  • Cost parameters fed by real SNDS data, not theoretical GHS tariffs
  • Deterministic and probabilistic sensitivity analyses
  • Efficiency frontier and implicit willingness-to-pay

CEPSPrice and conditions negotiation

The Economic Committee for Health Products sets the drug price and negotiates volumes, rebates and performance clauses. Budget impact analysis and international price benchmarks are its preferred arbitration tools.

  • 3-5-year budget impact with realistic penetration scenarios
  • Price rationale based on therapeutic added value
  • European price benchmarks and relevant comparators
  • Proposals for performance-based contracts (pay for results)

CNEDIMTS & ANSMMedical devices & pharmacovigilance

CNEDiMTS evaluates the Expected Benefit (SA) and ASA of medical devices. The ANSM is involved in post-marketing safety studies, risk management plans (PGR) and risk minimisation measures.

  • CNEDiMTS files: clinical data, SA/ASA, target population for medical devices
  • Post-marketing studies and PASS/PAES requested by ANSM
  • Real-world surveillance data (registries, EDS, SNDS)
  • Support for risk management plans based on RWE data

An end-to-end market access strategy

From early access to post-listing studies, we intervene at every critical phase of your product's journey in France.

Phase 1

Early access & pre-launch

Strategy preparation ahead of marketing authorisation. Target population estimation, burden of disease, unmet medical need. Price positioning framework and competitive landscape analysis.

AAP / AACTarget populationBurden
Phase 2

HAS evaluation

Preparation of the transparency file for the CT (SMR/ASMR) and the health economics section for the CEESP (if ASMR I-III). Modelling, sensitivity analyses, systematic literature review.

CT fileCEESP sectionModels
Phase 3

CEPS negotiation

Preparation of the price rationale, budget impact and economic file for negotiation with the CEPS. Support for rebate strategy and performance-based contracts.

Budget ImpactPrice rationalePerf. contracts
Phase 4

Post-listing & renewal

Post-listing studies (HAS or ANSM request), appropriate use studies, 5-year reimbursement renewal. RWE data from the SNDS and our EDS to confirm commitments made at first listing.

Post-listingRenewalRWE / SNDS

Robust health economic models

Models fed by French real-world data, compliant with the CEESP and HAS methodological requirements.

Budget Impact

Budget impact analysis

Projection of National Health Insurance expenditure over 3 to 5 years, integrating market share dynamics, therapeutic switches and potential savings.
Methodology

Top-down approach (SNDS target population) and bottom-up (per-patient costs). Penetration scenarios based on real prescription data (THIN, SOG Health). Sensitivity analyses on main drivers.

Deliverables

Validated Excel model, BIA report compliant with ISPOR standards, CEPS summary note, negotiation scenarios.

Cost-effectiveness

Health economic evaluation

Cost-effectiveness and cost-utility models for CEESP evaluation. Calculation of the ICER and positioning on the efficiency frontier.
Methodology

Markov models, microsimulations, decision trees adapted to the pathology. Cost parameters from the SNDS (no theoretical GHS tariffs). EQ-5D utilities from the literature or surveys. Adapted time horizon (lifetime if necessary).

Deliverables

Validated model, CEESP technical report, deterministic and probabilistic sensitivity analyses, acceptability curves.

Burden of Illness

Burden of disease

Comprehensive quantification of the medical and economic burden of the disease in France, based on real healthcare consumption data from the SNDS.
Methodology

Phenotyping algorithms on the SNDS to identify patients. Analysis of care pathways, average per-patient costs (hospitalisations, pharmacy, procedures), mortality and comorbidities. Case-control comparison if necessary.

Deliverables

Epidemiological report, target population estimate for the CT file, unit costs to feed BIA and cost-effectiveness models.

Models fed by real-world data

Most health economics files are built on literature data or expert assumptions. Clinityx directly feeds its models with real healthcare consumption data from the SNDS and its specialised EDS.

This approach considerably strengthens the credibility of your files with the CEESP and CEPS: cost parameters reflect the reality of care delivery in France, target populations are sized using validated phenotyping algorithms, and care pathways are documented on real cohorts.

65M+
SNDS beneficiaries to feed your models
8
Specialised EDS with detailed clinical data
15yrs
SNDS historical depth for analyses
100%
Real costs (no theoretical GHS tariffs)

Real French data for robust models

Our HEOR models draw on the richness of SNDS data and our specialised EDS to produce parameters grounded in the reality of care delivery in France.

SNDS (Magellan)

National medico-administrative data. 65M beneficiaries, prescriptions, medical consumption, hospitalisations.

Specialised EDS

CardioHub, UroCCR, Colibri, DataMesh. Detailed clinical data by therapeutic area.

THIN®

Electronic medical records from primary care. 3,050 GPs, 3.1M active patients per year, 15 years of history.

SOG Health Observatories

Pharmacy dispensing data. 85% of French pharmacies, real prescription patterns.

Data quality

Our analyses rely on the best French health data sources, CNIL-authorised, HDS-certified and compliant with regulatory standards.

Pseudonymised data compliant with GDPR
Confirmed whole-France representativeness
Long histories (10-15 years) for robust analyses

Strengthen your market access file

Strengthen your market access file with robust French data. Our HAS/CEPS analyses help pharma companies achieve favourable decisions.