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HEOR · ISPOR Good Practice

Budget Impact Analysis (BIA) Services

Cost-effectiveness tells a payer whether an intervention is good value. A budget impact analysis tells them whether they can afford it. The two answer different questions, and most reimbursement decisions need both. EvySaif builds clear, payer-ready budget impact models that project the financial consequences of adopting a new treatment over a defined time horizon.

ISPOR good practice1 to 5 year horizonScenario analysisInteractive models
Affordability · Model
PopulationEligible size and growth
Treatment mixCurrent and projected
CostsDrug, administration, downstream
Year by yearOver a one to five year horizon
The Pathway

Affordability over a realistic horizon

A budget impact analysis estimates the change in total spending when a new intervention enters a defined population, usually over a one to five year horizon matched to the payer's planning cycle. Built to ISPOR good-practice principles, the model lets a payer see the year-by-year financial picture and test it against their own assumptions.

Size the eligible population

Eligible-population sizing uses epidemiology and market-share inputs, accounting for the size and growth of the population the intervention will actually reach.

EpidemiologyMarket share

Project the treatment mix

The model reflects the current and projected treatment mix, so the comparison is against what payers actually fund today, not a convenient baseline.

Count the full costs

Drug and administration costs, and the downstream costs avoided or added, are all in the model, giving the total change in spending rather than the drug price alone.

Make it testable

Scenario and one-way sensitivity analysis on the key drivers, and interactive payer-facing models with adjustable inputs where required, so a formulary or reimbursement committee can stress-test the model rather than take a black box on trust.

Scenario analysisOne-way SAAdjustable inputs
At a Glance
Question answeredAffordability
HorizonOne to five years
FrameworkISPOR good practice
SensitivityScenario and one-way analysis
FormatInteractive payer-facing available
Pairs withCost-effectiveness analysis

Value and affordability are different questions: a cost-effectiveness analysis measures value (cost per unit of health gained); a budget impact analysis measures affordability (the total change in spending). Payers typically want both, and we build them as a pair on one consistent evidence base.

Deliverables

What we prepare

Budget impact modelsWith a one to five year horizon.

Population sizingUsing epidemiology and market-share inputs.

Sensitivity analysisScenario and one-way analysis on the key drivers.

Interactive modelsPayer-facing models with adjustable inputs where required.

Local adaptationTo India and Middle East cost and population settings.

Reports and summariesA clear technical report and summary suitable for payer and committee review.

Partnership

How EvySaif helps

We build budget impact models that are transparent and adjustable, so a payer can stress-test them rather than take a black box on trust. The structure follows ISPOR good practice, and the model is paired naturally with the cost-effectiveness work when a submission needs both.

Size the population with epidemiology and market share
Model the treatment mix and the full costs
Build in scenario and one-way sensitivity analysis
Pair the BIA with the cost-effectiveness analysis

Why EvySaif

As one of the best research and medical writing consultancies in India, EvySaif pairs clinical depth with regulatory rigour. The clinical and epidemiological assumptions in our budget impact models are clinician-reviewed, the structure follows ISPOR good practice, and the model is paired naturally with the cost-effectiveness work when a submission needs both. For Gulf and Indian payers, we adapt the cost and population inputs to the local market.

Questions

Frequently asked questions

A cost-effectiveness analysis measures value (cost per unit of health gained). A budget impact analysis measures affordability (the total change in spending). Payers typically want both.

Usually one to five years, matched to the payer's planning cycle, since budget impact is about near-term affordability rather than lifetime value.

Yes. We can build payer-facing models with adjustable inputs so stakeholders can run their own scenarios.

Have a different question?

Tell us about your product, market, and timeline, and a clinician on our team will reply with specifics rather than a sales script.

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Last updated: July 2026. Regulatory forms, portals, and timelines change; specifics are re-verified periodically.

Preparing a payer submission?

Tell us about your product and target payer, and we will come back with a scoped budget impact analysis quote.

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