CNRMS

What CNRMS does

CNRMS (Coordination Nationale des Réseaux de MicroStructures médicales) is a French non-profit association founded in 2006 to federate national networks of medical microstructures—primary care teams that combine a general practitioner, a psychologist, and a social worker within the same practice to deliver coordinated, proximity-based care. The model originated in Strasbourg in 1999 during the AIDS epidemic to address addiction in primary medicine, was experimentally validated through a 2004 University of Strasbourg study, and has since expanded to 7 French regions covering approximately 50–150 microstructures depending on inclusion criteria across experiments. CNRMS's primary beneficiaries are general practitioners managing complex patients and the patients themselves presenting with addiction, mental health, or social precarity issues, with care pathways spanning substance use treatment, mental health support, and COVID-19-related health impacts.

The organization's revenue model is institutional rather than commercial: it receives public funding from Regional Health Agencies (ARS) under Article 51 experimentation frameworks, grants from the Mildeca interministerial mission, and likely membership contributions from its 7 regional network members. It does not sell products at market prices. Its 'products' are coordination services, knowledge resources (the Entrelacs magazine, an informational documentary film, e-learning toolkits for the RPIB en tabacologie tobacco cessation project with RESPADD), and the annual Journée Nationale des Microstructures conference. Two major Article 51 experiments shaped recent activity: Equip'addict (2020–2023), which received a favorable generalization opinion in 2023, and Microstructures Covid/santé mentale (2020–2023), which covered 50 microstructures across 6 regions.

Technically, CNRMS operates with minimal digital infrastructure—no proprietary software platform, mobile app, API, or AI/ML capabilities. The core 'technology' is the coordination model itself, augmented by e-learning tools, newsletters, and standard web presence. Headcount is not publicly disclosed beyond a small coordination team including named project leads. Go-to-market is community-led through regional coordinators (2PAO, PROSES, FEMASCO) and institutional partners (ARS, Mildeca, RESPADD), rather than through traditional sales channels.

Name

CNRMS

Legal name

Coordination Nationale des Réseaux de MicroStructures médicales

Website

https://reseaux-rms.org

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

1–10 employees

Short description

CNRMS is a French non-profit association founded in 2006 that coordinates national networks of medical microstructures—primary care teams combining general practitioners, psychologists, and social workers—to address addiction, mental health, and social precarity across 7 French regions.

Ownership category

akta.pro rank

Headquarters

HQ city

Strasbourg

HQ country

France

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Institutional funding and coordination services: Association receives funding from institutional partners (ARS - Regional Health Agencies) for experimentation projects (Article 51 experiments), government programs (Mildeca), and possibly membership fees from regional networks.

Go-to-market motion1 record

Marketing channels5 records

Core offering

CNRMS is a French non-profit association that federates and coordinates regional networks of medical microstructures — primary care teams combining a general practitioner, a psychologist, and a social worker within the same practice to deliver pluri-professional care for patients with addiction, mental health, and social precarity issues. The organization also runs research-action projects (RPIB en tabacologie), publishes the Entrelacs magazine, and convenes the annual Journée Nationale des Microstructures conference.

Product overview

CNRMS (Coordination Nationale des Réseaux de MicroStructures médicales) is a federation association created in 2006 that coordinates medical microstructures across 7 French regions. The core product is the 'microstructure médicale' — a primary care team model combining a general practitioner, psychologist, and social worker. Supporting products include the Entrelacs magazine for professional knowledge-sharing, the RPIB en tabacologie research-action project on tobacco cessation, and the annual Journée Nationale des Microstructures conference. CNRMS also produces educational content including informational films defining the microstructure model.

Differentiator

Problem solved

Functional benefit

Products and services

• Microstructure médicale (Medical Microstructure) A primary care team model associating a general practitioner, a psychologist, and a social worker within the GP's office or multidisciplinary health center. The team ensures follow-up for patients presenting addictive issues, mental health problems, or situations of precarity. It is aimed at French primary care providers and deployed in 7 French regions.
• Entrelacs Magazine A magazine publication produced by CNRMS covering topics related to medical microstructures, addiction care, and primary healthcare coordination. It is aimed at healthcare professionals and stakeholders in the microstructure network.
• RPIB en tabacologie (Research-Action Project) A 3-year research-action project in partnership with RESPADD focused on early detection and brief intervention (RPIB) in tobacco cessation. It provides e-learning training and professional toolkits to micro-structure teams. Aimed at healthcare professionals in microstructures.
• Journée Nationale des Microstructures (Annual National Conference) An annual national conference bringing together professionals from medical microstructures to share knowledge and advance the deployment of microstructures in France. Aimed at healthcare professionals in the microstructure network.
• CNRMS Informational Film An informational film in which professionals define the medical microstructure and explain the specificities of this modality of care in city medicine. Aimed at healthcare professionals and the broader public.

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Six partnerships are on record, tiered regional and national.

• 2PAO (Plateforme Professionnelle Addiction Occitanie)regionalChannel Partner/ Reseller/ Distributor2PAO serves as a territorial animator for the implementation of micro-structures in Occitanie region. Previously known as RAMIP, 2PAO has 20 years of experience and acts as a resource platform for addiction professionals in the region.
• PROSES (Prévention des Risques Orientations Sociales Echange de Seringues)regionalStrategic or Co-development PartnerPROSES was created in 1997 to help drug users in Seine Saint Denis (department 93). Since 2018, the association has supported the implementation of micro-structure networks in the department and publishes a monthly newsletter 'La Mensuelle'.
• FEMASCO (Fédération des Maisons de Santé et de l'Exercice Coordonné)regionalChannel Partner/ Reseller/ DistributorFEMASCO supports teams in coordinated practice and those with projects across Burgundy Franche-Comté. The federation coordinates micro-structure development in the region with the ARS within the 'Equip'addict' experimentation.
• RESPADD (Réseau de Prévention des Addictions et Drogues)nationalStrategic or Co-development PartnerRESPADD is the national prevention network for addictions. CNRMS is conducting a 3-year research-action project on RPIB (Repérage Précoce et Intervention Brève) en tabacologie in collaboration with RESPADD, developing e-learning training and professional toolkits.
• ARS (Agences Régionales de Santé)regionalGTM or Marketing PartnerRegional Health Agencies support micro-structure development and carry experimentation projects like 'Equip'addict' in their respective regions (Grand Est, Hauts-de-France, Ile-de-France, Occitanie, Bourgogne-Franche-Comté, Provence-Alpes-Côte-d'Azur).
• Mildeca (Mission Interministérielle de Lutte contre les Drogues et les Conduites Addictives)nationalOthersThe interministerial mission against drugs and addictive behaviors provides policy framework and funding guidance. The 2018-2022 Mildeca plan highlighted the importance of primary care in addiction treatment and supported micro-structure development.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• 2PAO (Plateforme Professionnelle Addiction Occitanie): Regional resource platform in Occitanie (formerly RAMIP) that implements micro-structures with CNRMS. Functions as a regional coordination body with 20 years of addiction-specific expertise, highly comparable to CNRMS's role at the national level.
• Fédération Française d'Addictologie: Federation representing the main French addictology societies, working alongside CNRMS in the addiction treatment ecosystem. Comparable as a national coordinating body engaging with public authorities on addiction policy and care models.
• FEMASCO (Fédération des Maisons de Santé et de l'Exercice Coordonné): Regional federation in Bourgogne-Franche-Comté that directly partners with CNRMS to coordinate micro-structure deployment, including the Equip'addict experiment. Operates a similar coordinating role for primary care teams within a defined region.
• RESPADD (Réseau de Prévention des Addictions et Drogues): National French network for addiction prevention that co-develops research and training with CNRMS (e.g., the RPIB en tabacologie project). Both organizations operate as federating bodies for addiction professionals across France and rely on similar public funding mechanisms.
• Fédération Addiction: French national federation of addiction professionals and organizations, comparable in mission scope and target population. Like CNRMS, it coordinates a network of member associations delivering addiction care, with overlapping regional partners and ARS touchpoints.
• PROSES (Prévention des Risques Orientations Sociales Échange de Seringues): Association in Seine-Saint-Denis supporting micro-structure implementation since 2018, with a comparable harm-reduction and primary care integration mission. Partners with CNRMS at the regional level and operates similar coordination functions for GPs and addiction professionals.
• Société Française d'Alcoologie: French scientific society dedicated to alcohol-related disorders, with overlapping clinician base (GPs, addiction specialists) and policy engagement. Comparable as a professional/scientific association coordinating expertise in a CNRMS-relevant addiction domain.

Others

• EMCDDA (European Monitoring Centre for Drugs and Drug Addiction): EU agency providing evidence and policy guidance on drug addiction, with which CNRMS-aligned policy frameworks (Mildeca plans, Article 51) align. Comparable as a coordinating/knowledge body shaping addiction policy and funding environments relevant to CNRMS.

Broad incumbents

• ASAM (American Society of Addiction Medicine): Larger, established U.S. professional society for addiction medicine that defines care standards and certifies addiction specialists. Comparable as a coordinating authority in addiction medicine, though operating in a different healthcare system and broader clinical scope than CNRMS.

Emerging players

• Collège de la Médecine Générale: French academic college for general medicine that represents GPs — CNRMS's primary delivery channel for microstructures. Highly relevant as the professional body whose members are the target adopters of the microstructure model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@CNRMS-hz7wf?feature=shared
• LinkedInlinkedin.com/company/cnrms

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about CNRMS