Article 51

Article 51 Agency Consulting firm Experts Specialists Consultancy

The opportunities offered by article 51 of the 2018 French Social Security Financing Law (LFSS) are numerous. Project leaders can offer experimentation with new care pathways (whether or not incorporating new tools), new funding methods, or promote better use of healthcare products. All this with the aim of improving the current healthcare system and providing the best possible support for patients. Thanks to its in-depth knowledge of the system, Alcimed supports its clients in the construction of their projects with a view to the successful submission of their experiment within the framework of Article 51.

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    The challenges related to article 51

    Article 51 offers healthcare players the opportunity to test new approaches by deviating from the usual rules of organization and financing. The aim is to promote innovative organizations that contribute to improving patient care, healthcare system efficiency, access to care and the pertinence of healthcare product prescriptions. This new financing tool necessarily raises a number of questions:

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      How we support you in your projects related to article 51

      Alcimed supports its clients at all stages of the construction of their projects: to better understand the way in which you can seize the system of Article 51, to reflect on your project and draw its outlines, to identify the partners (including public-private partnerships) and the best strategy to adopt to set up a winning project, or to organize the drafting and submission process of your project in connection with regional and national authorities.

      Examples of recent article 51 projects carried out for our clients

      • Structuring of Article 51 projects with 10 ARS in France as part of a framework agreement

        Alcimed is referenced by 10 ARS to support project leaders in structuring their responses at the regional level.

        Our consortium works with project leaders to help them define the objective of the project, identify partners, formalize the ambition, the objectives or even the project management scope and support the translation of these different elements within the framework of the letter of intent to be produced.

        We can also provide more in-depth support to build the specifications by working on discussions with ARS and CPAM, and in particular by defining the scope for financing and evaluating the experiment until it is authorized.

      • Support for the CNAM's Accelerator 51

        Our team works at the national level within a consortium in charge of piloting and running Accelerator 51, a collaborative innovation system co-supported by Health Insurance and the Ministry of Health aimed at accelerating and developing projects in the form of intensive collective intelligence sessions.

        Our consortium is involved both in the continuous optimization of the operating processes of this Accelerator to guarantee efficient support adapted to the projects that need it, and in the realization of preparatory sessions and workshop sessions aimed at consolidating the projects until their authorization for experimentation.

        We also provide an enlightened view of the overall functioning of the Article 51 system and the innovative projects supported within it.

      • Structuring of various Article 51 projects alongside various project leaders

        We have supported various project leaders (public actors, start-ups, medico-social establishments, industrial players, etc.) in setting up their letter of intent and their specifications on topics as varied as support for the identification and compensation of sensory deficits, the healthcare pathway for caregivers, the fertility pathway, innovation in the assessment of loss of autonomy (AMI ICOPE), improvement of the pathway to access technical aids (AMI EqLAAT) and many other projects!

      • Support in drawing up a detailed application to open hospital-at-home (HAH) beds, with a view to submitting an Article 51 dossier to the Agence Régionale de Santé (ARS)

        Alcimed helped the Oncology Unit of a University Hospital Center (CHU) identify a funding window to launch its project to open home hospitalization (HAD) beds. Article 51 had already been identified as one of the funding windows pre-focused by the project leader.

        Our team began by assessing whether it would be appropriate for the promoter to submit an Article 51 application for his project. To do this, we carried out a benchmark of other HAH bed projects in France, in particular to identify how they had been financed.

        This support enabled the promoter to confirm the relevance of turning to the Article 51 window to finance this project, and to have a very clear argument to submit to the ARS in order to optimize his chances of obtaining funding.

      • Training of the team of a pharmaceutical organization to understand the stakes of an article 51 dossier

        Alcimed trained the staff of a major pharmaceutical group to understand Article 51, both in terms of the dossier’s content and its applicability to the group’s innovation projects.

        To this end, we organized a full day of training. The first part focused on the Article 51 file: legal framework, eligibility criteria, content and conditions for submitting the file, evaluation criteria, financing methods, etc. The second, more operational part enabled the group’s employees to examine real case studies, based on in-house innovative projects, and to assess the eligibility of these projects for an Article 51 file. This training provided our customer with all the theoretical and practical elements needed to make an informed decision on whether or not to submit an Article 51 application for one of the projects worked on during the day’s case studies.

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