Caisse Nationale de Solidarite pour l'Autonomie

What Caisse Nationale de Solidarite pour l'Autonomie does

CNSA (Caisse Nationale de Solidarité pour l'Autonomie) is a French public administrative establishment created by the law of June 30, 2004, and reorganized by the law of August 7, 2020, which made it the managing body of the 5th branch of French Social Security dedicated to Autonomy (loss of autonomy due to age or disability) effective January 1, 2021. The entity collects, pools, and redistributes resources for the autonomy policy, with the branch budget reaching approximately 42 billion euros in 2025 (projected 43.37 billion euros in 2026), funded primarily by CSG contributions (88.8%) and the Journée de solidarité. CNSA serves 7.7 million individuals daily, financing departmental schemes for the elderly and disabled, the 100+ Maisons Départementales des Personnes Handicapées (MDPHs), and the network of social and medico-social establishments (ESMS) across all 101 French departments.

CNSA's core product surface is a portfolio of public-facing digital platforms and operational information systems. Public platforms include CNSA.fr (the institutional site), Mon Parcours Handicap (a service portal for disabled persons), Pour les personnes âgées (an equivalent portal for elderly persons), Data Autonomie (national data portal), Baromètre des MDPH (MDPH performance dashboard), and Portrait des territoires (territorial autonomy data). Internal and operational systems include GALIS (back-office management), MDPH en ligne (online applications for disabled persons, homologated as a certified public service in October 2024), and RAMA (resource allocation tool). The entity also operates publishing, documentation, and media functions (e.g., the BTP en Commun fair, podcasts, public reports).

CNSA's business model is non-commercial: as a public administrative establishment, it does not sell products or services to end users. Its "revenue" consists of social security contributions (CSG) and other statutory levies, which it redistributes to departments, MDPHs, ESMS operators, and partner organizations through programmatic allocations, calls for projects, and research funding. Its go-to-market is institutional and statutory rather than commercial: it works through signed partnerships (e.g., France Travail in November 2025, Fepem in March 2025, ANAP in March 2025, Cnav in February 2025, IReSP in February 2021, Caisse des Dépôts in July 2021) and through its legally mandated governance (Council, Director, Boards). The customer segments are institutional: French departments, MDPHs, ESMS operators, autonomy-sector research bodies, and ultimately the 7.7 million elderly and disabled beneficiaries.

Name

Caisse Nationale de Solidarite pour l'Autonomie

Legal name

Caisse nationale de solidarité pour l'autonomie

Website

https://cnsa.fr

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

101–250 employees

Short description

CNSA is France's national autonomy fund, managing the 5th branch of French Social Security since 2021. It distributes approximately 42 billion euros annually from CSG contributions to departments, MDPHs, and ESMS, serving 7.7 million elderly and disabled individuals.

Ownership category

akta.pro rank

Product category

Public Sector Social Security Administration

NAICS

Administration of Public Health Programs (923120), Health and Welfare Funds (525120), Executive, Legislative, and Other General Government Support (921)

SIC

Services-Membership Organizations (8600)

akta.pro primary industry

Government Digital Service & eGovernment (Service Delivery, IDs, Portals) (BPAIAAAE)

akta.pro secondary industry

Health Research Funding Agencies (Public/Quasi-Public) (HLAJALAB)

Keywords

• Public autonomy funding
• Elderly care financing
• Disability support services
• Medico-social establishment funding
• Social security branch management

Headquarters

HQ city

Paris

HQ country

France

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Operations, Personnel, Technology or R&D, Others

Revenue model

1. Contribution Sociale Généralisée (CSG): CSG is the principal funding source for the Autonomie branch, representing 88.8% of resources. CNSA collects and distributes CSG revenue for autonomy financing.
2. Journée de solidarité: Annual solidarity day mobilizing employer contributions to finance autonomy. In 2026, 3.36 billion euros are mobilized; in 2025, 3.48 billion euros (8% of Autonomie branch resources of 42 billion euros).
3. Assurance Maladie dotation: Health insurance contributions funding investment (Ségur de la Santé), MDPH modernization, and medico-social establishments.
4. Budget de la branche Autonomie: Total Autonomie branch budget of approximately 42 billion euros annually, covering APA, PCH, ESMS financing, investment, and departmental grants.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels9 records

Core offering

CNSA (Caisse Nationale de Solidarité pour l'Autonomie) is a French public administrative establishment (établissement public administratif) that manages the Autonomy branch (5th branch) of French Social Security since January 1, 2021. It collects and distributes public funding—primarily through the Contribution Sociale Généralisée (CSG) at 88.8% of resources and the Journée de solidarité—to France's 101 departments, 100+ Maisons Départementales des Personnes Handicapées (MDPH), and thousands of medico-social establishments and services (ESMS) such as EHPADs, SSIADs, and residences autonomie, financing autonomy benefits (APA, PCH, AEEH, AJPA) and investment programs (notably the Ségur de la Santé plan).

Product overview

CNSA operates a suite of interconnected digital platforms and information systems serving the French autonomy branch of social security. The core offering consists of the institutional portal CNSA.fr complemented by public-facing information portals (Mon Parcours Handicap, Pour les personnes âgées) and data analytics tools (Data Autonomie, Baromètre des MDPH, Portrait des territoires). Internal systems (GALIS, MDPH en ligne, RAMA) manage subsidy processing, disability rights applications, and medical reporting. Content is disseminated through publication repositories, RSS/XML/JSON feeds, and webinaire programs. The portfolio is managed through various homologated information systems developed and hosted by Worldline.

Differentiator

Problem solved

Functional benefit

Products and services

• CNSA.fr institutional portal
• Mon Parcours Handicap

Quantifiable outcome

• 7.7 million individuals supported daily by the Autonomie branch in 2026
• +3 more outcomes

Segments6 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Ten partnerships are on record, tiered moderate and core.

• HandéomoderateStrategic or Co-development Partner · 11 June 2026Handéo was entrusted by CNSA, in partnership with DITND (Délégation interministérielle à la stratégie pour les troubles du neurodéveloppement), to conduct an evaluative study on the deployment of URTSA (Unités Résidentielles pour adultes autistes en situation très complexe), a measure of the National Autism Strategy 2023-2027.
• France TravailcoreStrategic or Co-development Partner · 24 November 2025CNSA and France Travail signed a reinforced cooperation convention (24 November 2025 in Bègles) to address population aging by acting on recruitment in human-service professions of the autonomy sector. The partnership consolidates a dynamic begun in 2021, opening a new stage in collaboration for attractiveness, training, and employment in autonomy jobs. Common challenges include accompanying life pathways, facilitating return to work, and meeting the demographic challenge.
• JeVeuxAider.gouv.frmoderateStrategic or Co-development Partner · 22 July 2025CNSA partnered with JeVeuxAider.gouv.fr platform to mobilize volunteers during heatwaves (canicule). CNSA invites actors from its networks to publish volunteer missions to reinforce support for elderly persons and persons with disabilities who are particularly vulnerable during extreme heat.
• Monalisa et Les Petits Frères des PauvresmoderateStrategic or Co-development Partner · 24 March 2025CNSA reinforced its commitment against isolation of elderly persons with Monalisa and Les Petits Frères des Pauvres. These partnerships illustrate a common willingness to strengthen local solidarity for isolated elderly persons, providing tools and support to local actors in their efforts to combat isolation, in line with commitment 11 of the COG 2022-2026.
• ANAP (Agence nationale d'appui à la performance)coreStrategic or Co-development Partner · 18 March 2025For the 20th anniversary of the Handicap law, ANAP and CNSA launched a sharing platform of inspiring practices for the transformation of medico-social offer in the disability field. The platform emerged from the 2024 national working group on transformation of the medico-social offer. Professionals are invited to share innovative good practices.
• Fepem (Fédération des particuliers employeurs de France)coreStrategic or Co-development Partner · 11 March 2025CNSA and Fepem renewed their partnership to strengthen actions in favor of individual employers in loss of autonomy due to age or disability, and to promote free choice of home care intervention mode. The partnership supports individual employers navigating home care arrangements.
• Assurance Retraite (Cnav)coreStrategic or Co-development Partner · 5 February 2025CNSA and Assurance Retraite (Cnav) jointly launched a national call for projects in favor of 'résidences autonomie' investment, combining CNSA's 20 million euro contribution (Ségur de la santé) with Cnav's 10 million euro allocation, totaling 30 million euros for 2021.
• ANAP et Fin Infra (Mission d'appui au financement d'infrastructures)coreImplementation/ SI/ Consulting Partner · 9 March 2021CNSA partnered with ANAP and Fin Infra (Direction générale du Trésor) to provide methodological support to medico-social professionals for real estate projects. They published tools, guides, and recommendations including Oscimes observatory, surface benchmarks, financial impact simulation tools, and public procurement guides. In urgent or complex situations, the investment aid plan can fund an ANAP or Fin Infra-led professional team.
• IReSP (Institut pour la Recherche en Santé Publique)coreStrategic or Co-development Partner · 12 February 2021CNSA and IReSP jointly conduct the Programme 'Autonomie: personnes âgées et personnes en situation de handicap' which funds research in human and social sciences and public health. The program includes four calls for projects: generic, thematic on medico-social transformation, thematic on autism and social sciences, and support for mixed research communities. In 2020, 13 projects were funded for nearly 2.6 million euros.
• Mon Parcours HandicapcoreOthersMon Parcours Handicap is a national information and services platform for persons with disabilities, co-piloted by CNSA, providing comprehensive information including housing access, school pathways, and daily life support. Run in conjunction with the Caisse des Dépôts.

Scale indicators10 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Caisse nationale d'assurance vieillesse (Cnav / Assurance Retraite): Cnav manages France's basic old-age pension branch and is an active co-financing partner of CNSA, notably via joint résidences autonomie calls for projects (20M EUR CNSA + 10M EUR Cnav in 2021). Both institutions administer branch budgets, fund territorial partners, and share beneficiary overlap in the elderly autonomy segment.
• Agence centrale des organismes de sécurité sociale (Acoss / Urssaf): Acoss is the central agency that collects and redistributes Social Security contributions, including the CSG that funds CNSA's Autonomy branch (88.8% of CNSA's resources). Operationally comparable as the upstream financial backbone of the Social Security branches CNSA depends on.
• Caisse nationale d'assurance maladie (CNAM): CNAM manages the maladie (health insurance) branch of French Social Security and is structurally comparable to CNSA as a sister-branch caisse. Both operate as établissements publics administering mandatory social contributions and distributing benefits through a national-territorial network, making CNAM the closest institutional peer within the French Social Security system.
• Caisse nationale des allocations familiales (Cnaf): Cnaf manages the family branch of French Social Security and shares CNSA's operating model of collecting branch contributions and distributing funding to a nationwide departmental network. Comparable in governance structure (conseil d'administration with State and partner representation) and territorial delivery mechanism.

Others

• Haute Autorité de santé (HAS): HAS sets clinical and quality standards for ESMS and medico-social establishments that CNSA finances. It is a relevant ecosystem peer as the quality-and-evaluation counterpart that shapes how CNSA-funded establishments operate, although it does not distribute benefits.
• France Travail (formerly Pôle Emploi): France Travail is CNSA's strategic partner under the November 2025 cooperation convention to address recruitment into autonomy professions. It is a peer as a French public operator with national-territorial scale and Social Security-adjacent funding, though its core mission (employment services) is distinct from autonomy financing.

Broad incumbents

• Santé publique France: France's national public health agency operates under similar public-administrative status and channels national funding into population-level health programs. Comparable as a publicly funded national agency with nationwide reach, but its mission centers on health surveillance and prevention rather than long-term care financing.
• Caisse des Dépôts et Consignations (CDC): CDC is CNSA's strategic partner for senior housing investment, having mobilized 25M EUR for territorial engineering, 2.5M EUR in loans, and 1M EUR in equity alongside CNSA's Ségur plan. As a long-term public investor in social infrastructure, CDC is the closest financial-counterparty peer to CNSA's investment programs.
• Direction générale de la Cohésion sociale (DGCS): DGCS, within the French Ministry of Health and Solidarity, designs and oversees national policy for elderly and disabled persons and co-pilots the COG with CNSA. It is the principal State counterpart that shapes CNSA's regulatory and budgetary framework, making it the closest State-side peer.

Regional players

• Agences régionales de santé (ARS): France's regional health agencies coordinate medico-social policy at the regional level and co-implement many programs CNSA funds (ESMS authorizations, SPDA conventions). Comparable as decentralized public administrators in the same autonomy policy ecosystem, though territorially scoped rather than national.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/CNSA_actu
• YouTubeyoutube.com/channel/UC_5KmNgWie7YkXPVA_lZDzg
• LinkedInfr.linkedin.com/company/caisse-nationale-de-solidarit-pour-l%27autonomie

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Caisse Nationale de Solidarite pour l'Autonomie