Services

Build better Models for Reimbursement

Turning Healthcare Data into Reimbursement Advantage

But how can it be used to make it valuable data?

Turning Clinical Impact into Reimbursement Architecture

For Biotech, MedTech, Digital Health, and IVD innovators, success is not determined solely by efficacy.

It is determined by what your technology changes across the patient pathway clinically, operationally, and economically.

Reimbursement bodies do not fund innovation.
They fund demonstrable system improvement.

Getting the most from your data

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From Clinical Effect to Economic Consequence

Every innovation creates pathway shifts:

• Shorter length of stay
• Earlier diagnosis
• Reduced complication rates
• Procedure substitution
• Capacity release
• Workforce efficiency
• Downstream cost avoidance

But unless these shifts are quantified within the payment structure, they remain invisible.

At Odelle Technology, we build bespoke mathematical and statistical models that translate pathway impact into reimbursement logic.

When value becomes economically legible, adoption accelerates.

In one national programme, structured value modelling supported a technology moving from 3% to 79% adoption within five years , not through promotion, but through contribution-margin visibility and tariff alignment.

That is pathway engineering.

Our approach is simple

Why Pathway Modelling Is Essential

Biotech reshapes long-term cost curves and survival trajectories.

MedTech alters procedural economics and DRG performance.

Digital health modifies utilisation, adherence, and workforce burden.

IVDs shift diagnostic timing, treatment allocation, and downstream expenditure.

Without pathway-level modelling, these impacts cannot survive HTA scrutiny.

With it, they become fundable.

What We Build

We design jurisdiction-specific economic architectures across the UK and Europe.

Pathway-Level Economic Models

Mapping:

• Episode-of-care costs
• Resource consumption
• Payment flows (DRG, HRG, CCAM, OPS, LPPR)
• Coding alignment
• Reimbursement thresholds
• Regional funding constraints

HTA-Ready Economic Frameworks

Supporting:

• Cost-Utility Analysis (CUA)
• Budget Impact Analysis (BIA)
• Cost-Consequence modelling
• DRG uplift arguments
• LPPR, PECAN, NUB, DiGA submissions
• Tariff negotiation strategy

Contribution-Margin & Hospital-Level Models

Demonstrating to CFOs:

• Revenue impact
• Capacity gains
• Case-mix shifts
• Coding optimisation
• Financial sustainability

This is where adoption decisions are made.

Why Models Must Differ by Country

A model that works in England fails in Germany.

Because incentives differ.

UK:
• ICS budget impact
• NICE thresholds
• HRG contribution margin

Germany:
• DRG rigidity
• OPS coding precision
• NUB pathways
• Medizincontroller economics

France:
• LPPR listing
• CCAM coding
• CNEDiMTS grading
• ARS oversight

Spain & Italy:
• Regional HTA fragmentation
• Procurement consortia
• Decentralised budgets

The mathematics must reflect the incentive structure.

We do not deploy templates.
We build country-specific reimbursement logic.

From Data to Adoption Strategy

Our models allow innovators to answer:

Where does pathway value emerge?
How does it translate into reimbursement?
Which regions generate positive economic signal first?
What real-world evidence must be generated to satisfy HTA?
How does this move from pilot to national scale?

This is not retrospective analytics.

It is a forward reimbursement architecture.

Our Approach

We:

  1. Map your technology across the full patient pathway
  2. Integrate clinical, operational, and economic data
  3. Embed reimbursement structure
  4. Stress-test funding scenarios
  5. Deliver transparent, interactive modelling tools

Built deliberately in Excel and Visual Basic:

• Transparent
• Audit-ready
• Rapidly adaptable
• No vendor lock-in
• Immediately usable by CFOs and pricing teams

No black boxes.
No generic dashboards.
Only mathematically legible value.

The Outcome

For Biotech, MedTech, Digital, and IVD innovators, pathway modelling enables:

• Clear HTA positioning
• Robust Budget Impact justification
• Tariff alignment
• Regional rollout prioritisation
• Investor-grade economic validation
• Scalable reimbursement architecture

This is modern market access:

Engineering adoption through economic clarity..

To find out more and discuss your project, please contact us.

Testimonials

With over 65 years combined experience, we have a long track record of delivering timely solutions for our clients.

Our clients


Since our establishment, we have worked with a number of industry-leading clients, working to provide an efficient, successful service that delivers the best possible results for you. Some of these clients include:

+44 (0) 7804 623 339



Unit 1-2
Field View Business Park
Bicester
UNITED KINGDOM
OX27 7SG

15 Rue de President Roosevelt
Pons
FRANCE
17800

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