HTA submissions are under increasing scrutiny

Health technology assessment committees are examining economic models more closely than ever. Assumptions must be transparent, calculations traceable, and results reproducible across jurisdictions. Preparing submissions for agencies such as NICE, CADTH and HIQA now requires a level of validation and transparency that traditional spreadsheet models were never designed to support.

What is VIVID

VIVID is a validation and analysis layer for health economic models. It replaces opaque spreadsheets with a structured pipeline that parses models, verifies assumptions, runs analysis and generates submission-ready outputs across multiple HTA frameworks.

01 — The Problem

HTA evaluation is becoming more forensic.

HTA reviewers now expect full traceability of assumptions, calculations and outcomes. Yet most economic models are still built in spreadsheets that were not designed for transparent validation or cross-jurisdiction analysis.

  • Black-box models

    Excel macros hide critical assumptions. R is difficult to comprehend for non-coders. Reviewers cannot trace calculations from input to output.

  • Manual validation

    Transition probability checks, cohort conservation, discount rate verification — all done by hand, every time.

  • Framework lock-in

    A model built for NICE cannot run against HIQA or CADTH without substantial rework. Multi-country submissions multiply effort.

  • Irreproducible results

    No audit trail. No version control. No way to verify that the PSA used correct distributions or that the DSA varied the right parameters.

02 — Who VIVID is for

Who VIVID is for

VIVID is designed for teams responsible for building and submitting health economic evidence:

  • Global HEOR teams preparing HTA submissions
  • Market access teams coordinating multi-country evidence packages
  • Consultancies building and validating economic models
  • Manufacturers preparing submissions to agencies such as NICE, CADTH and HIQA

03 — What's Included?

Everything you need to keep your analysis traceable and audit-ready so you can feel safe submitting models built by humans and AI.

VIVID replaces opaque spreadsheets and R code with a structured analysis pipeline. Upload once, run against any framework, validate automatically.

  • Model ingestion

    Upload .xlsx, .xlsm, .csv, or .R files. VIVID parses health states, transition matrices, cost vectors, and utility weights automatically.

    .xlsx .csv .R

  • Framework configuration

    Select NICE, HIQA, CADTH, ZIN, or any supported framework. Discount rates, perspective, currency, and WTP thresholds auto-populate from the reference case.

    7 reference cases

  • Sensitivity analysis

    1,000-iteration probabilistic sensitivity analysis (PSA). CE plane, CEAC, CEAF. One-way deterministic sensitivity analysis (DSA) with tornado using NMB — never ICER on a dominant result.

    PSA + DSA

  • Automated validation

    10 structural checks on every run. Transition probability row sums, cohort conservation, absorbing states, discount rates, half-cycle correction — all verified to 1e-6 tolerance.

    10 checks

  • Submission reporting

    NICE-style Table 1, NHB, NMB, disaggregated costs and QALYs, Markov trace. Outputs structured for direct inclusion in HTA submission documents. All assumptions, calculations and outputs are traceable, enabling HTA reviewers and internal teams to understand exactly how results were generated.

    NICE Table 1

  • Multi-jurisdiction

    Upload a model once and run it across multiple HTA reference cases. VIVID allows teams to see how results change under NICE, HIQA, CADTH and other frameworks without rebuilding the model for each jurisdiction.

    One model, any framework

04 — Process

Upload to validated result in under sixty seconds

A four-step linear pipeline. Every value is editable, every output traces to its inputs.

  • Upload

    Drag and drop a model file or start from a Markov, partitioned survival, or decision tree template.

  • Configure

    Select HTA framework. Review parsed parameters. Edit transitions, costs, utilities inline.

  • Analyse

    Run base-case, PSA, DSA. View Table 1, CE plane, CEAC, Markov trace, tornado, NHB, NMB.

  • Validate

    Over 100 validated checks. Reproducibility verification. Export submission-ready report.

05 — Uncertainty & value

From PSA to submission-ready models

Probabilistic and deterministic sensitivity analyses in one place. CE plane, CEAC, tornado diagrams, and Markov traces are generated from your model and formatted for your target HTA body — so committees see uncertainty and value clearly.

Cost-effectiveness plane

PSA scatter: incremental cost vs incremental QALYs

ΔQALYs (x) · ΔCost (y)

CEAC

Cost-effectiveness acceptability curve by WTP

Markov trace

Cohort proportions by health state over time

Healthy Sick Dead

Tornado diagram

One-way DSA: impact on NMB at threshold

06 — Reference Cases / Frameworks

Pre-configured for every major HTA body

Select a framework. Discount rates, perspective, currency, WTP thresholds, and reporting requirements populate automatically. Parameters are indicative; always confirm against each body’s current reference case.

FrameworkJurisdictionDiscount ratePerspectiveWTP thresholdCurrency
NICEEngland & Wales3.5% / 3.5%NHS & PSS£20k–£30kGBP
HIQAIreland4.0% / 4.0%HSE€20k–€45kEUR
CADTHCanada1.5% / 1.5%Public payer$50k–$100kCAD
ZINNetherlands4.0% / 1.5%Societal€20k–€80kEUR
IQWiGGermany3.0% / 3.0%SHIEfficiency frontierEUR
TLVSweden3.0% / 3.0%SocietalSeverity-adjustedSEK

Ready to get started?

VIVID reduces manual validation effort, improves reproducibility of results, and produces structured outputs ready for HTA submission documents.