France-first · EU-facing

Make clinical evidence
decision-ready for
access & reimbursement.

HTA Bridge is building an AI-enabled evidence strategy and market access service for health technology developers. We help teams identify the right access route, strengthen evidence before submission, and plan recovery or reassessment when decisions are at risk.

HTA Bridge — Evidence Strategy for Health Innovation

Evidence Strategy for Health Innovation

12 Jan 2025
EU HTA applies
The EU HTA Regulation applies from 12 January 2025. Joint Clinical Assessments initially cover new cancer medicines and ATMPs, with additional product categories entering scope over time.
Multiple routes
France pathway depends on product type
Medicines, devices, digital health technologies, and early-access situations do not follow the same HTA and reimbursement route. The first decision is often to identify what is actually in scope.
Earlier is better
Critical evidence choices are upstream
Comparator choice, endpoints, indirect comparison feasibility, and real-world evidence planning are usually easier to strengthen before the dossier is locked.

Clarify the route. Strengthen the evidence. Support the decision.

HTA Bridge helps pharma, biotech, medtech, and digital health teams prepare for EU HTA and French market access. We combine route clarification, evidence strategy, and writing services so teams know what to do, what to produce, and what to strengthen before high-stakes decisions are made.

EU HTA & PICO readiness
Writing services & dossier production
Reassessment & evidence recovery
First, clarify the access and reimbursement route

Not every product needs every committee, analysis, or evidence package. One of the first strategic decisions is to separate what is in scope from what is not, so time and budget go into the work that can actually change the decision.

EU pathway

EU HTA / Joint Clinical Assessment

For in-scope medicines, we review likely PICO exposure, comparator logic, endpoint relevance, subgroup credibility, and evidence vulnerabilities before national access decisions start to crystallise.

France medicines route

Reimbursement logic for medicines

For medicines, we localise global evidence for French decision logic, including SMR/ASMR positioning, reimbursement implications, and CEESP scoping where an economic evaluation may be required.

France device / digital route

Devices, digital health, and funding routes

For medical devices and digital health, we help determine whether CNEDiMTS, LPPR, or a transitional or anticipatory access route is likely to be relevant—and what evidence that route is expected to need.

Post-opinion route

Recovery, reassessment, and post-launch evidence

After a negative or restrictive outcome, we help define whether the next step is reanalysis, supplementary evidence, real-world data, indication reframing, or a planned reassessment strategy.

Then, clarify the timing

Timing varies by product type, regulatory status, and data maturity, but access work usually clusters into four windows. The earlier the issue is identified, the more options are still open.

12–18 months before milestone

Shape the evidence plan

Stress-test comparator choice, endpoint hierarchy, subgroup strategy, and the evidence gaps most likely to create downstream friction.

6–12 months

Confirm the likely route

Use this window to map the relevant access pathway, define the value story, and decide whether additional analyses are worth doing.

0–6 months

Localise and structure the dossier

Focus on claims discipline, committee-facing narrative, final risk review, and go / no-go decisions on NMA or RWE work.

After opinion or launch

Plan the next move

Use follow-up evidence, real-world data, or focused reanalysis to support recovery, re-entry, price discussions, or reassessment.

Service packages

Each engagement is modular. We recommend only the packages that match your product, route, and timing, rather than forcing every programme through the same workstream.

PACK 01

Access Pathway & Reimbursement Mapping

Rapid scoping of the relevant EU and France route for your product type, stage, and claims. Deliverable: a concise pathway memo covering likely committees, required evidence types, decision dependencies, and near-term priorities.

Best first engagement
PACK 02

EU HTA Readiness Diagnostic

Structured review of likely PICO exposure, comparator alignment, endpoints, subgroup plan, and clinical defensibility for products likely to face joint clinical assessment. Deliverable: a prioritised risk map and action plan before submission.

EU HTA · pre-submission
PACK 03

Comparator & Evidence Gap Strategy

Identification of the gaps most likely to weaken access or reimbursement decisions, with practical recommendations on comparator justification, endpoint hierarchy, indirect comparison options, and additional evidence priorities.

Upstream evidence planning
PACK 04

NMA Feasibility Review

Methodological go / no-go review before investing in an indirect comparison. We assess network geometry, transitivity, data consistency, and likely committee credibility so weak analyses are avoided early.

Evidence synthesis scoping
PACK 05

RWE & External Comparator Feasibility Review

For single-arm, rare disease, or high-uncertainty programmes, we assess data-source fit, external control design options, operational feasibility, and likely HTA acceptability before study design is locked.

RWE · external controls
PACK 06

France Dossier Translation & Claim Architecture

Localisation of a global evidence package for the relevant French route. That can include SMR/ASMR framing for medicines, CEESP-oriented inputs where relevant, or CNEDiMTS / LPPR positioning for devices and digital health—plus a coherent dossier structure and defensibility map.

France localisation
PACK 07

Recovery & Reassessment Plan

Root-cause review after a negative, delayed, or commercially weak outcome. Deliverable: a pragmatic recovery plan covering reanalysis, new evidence, RWE support, pathway repositioning, or reassessment preparation.

Post-opinion action plan
PACK 08

Writing Services

Scientific and strategic writing support across the access journey, including dossier sections, evidence summaries, review-ready narratives, and structured documents that connect claims, evidence, and committee expectations.

Core writing support
PACK 09

SAP, Study Design & Protocol Development

Support for statistical analysis plans, study design choices, protocol production, and evidence-generation logic so the study is more likely to answer the questions that matter for HTA and reimbursement later.

Study planning
PACK 10

Literature Synthesis & Evidence Gap Monitoring

Focused literature synthesis, ongoing evidence-gap monitoring, and comparator landscape tracking to identify where the value story is strong, where the evidence is thin, and what is changing in the published record.

Monitoring and synthesis
PACK 11

Systematic Reviews & Meta-Analyses

Structured evidence reviews, systematic reviews, pairwise meta-analyses, and related synthesis work designed for decision use, with methods matched to the question, the data, and the expected level of scrutiny.

Evidence synthesis delivery
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We make access strategy clearer by separating route, timing, and evidence requirements before teams invest in the wrong work.

HTA Bridge · Access and reimbursement strategy

Current status

Launching in stages. Advisory engagements open now.

We are speaking with teams preparing for EU HTA, French reimbursement submissions, and post-decision evidence work over the next 6–18 months.

Discuss your pathway

Let's talk access and reimbursement.

Best fit for an initial conversation

Reach out if you need to clarify the relevant route, pressure-test a dossier before submission, or define the next step after a negative or restrictive outcome. The fastest way to scope a discussion is to share product type, indication, geography, development stage, and next access milestone.