Fastllm Limits Budgets
azrtydxb/Fastllm-proxy
Inspect and reconcile FastLLM spend and rate limits — read global budgets and limits, trigger limit reconciliation across replicas, and sync provider prices.
This skill should be used when the user asks about "EMA", "CHMP opinion", "NICE", "G-BA", "AMNOG", "HAS", "European launch", "HTA", "EU pricing", "reimbursement in Europe", or wants ex-US launch…
Install Ema Nice Hta
$ npx skills add hh-health-AI/healthcare-equity --skill ema-nice-hta -a claude-codeProject install by default; add -g for ~/.claude/skills/.
$ gh skill install hh-health-AI/healthcare-equity ema-nice-hta --agent claude-codeProject scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .claude/skills && cp -r skills-src/modules/global-access/skills/ema-nice-hta .claude/skills/ema-nice-hta && rm -rf skills-srcUse ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.
Claude Code skills documentation · loads skills from .claude/skills/
Install the "ema-nice-hta" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/global-access/skills/ema-nice-hta into .claude/skills/ema-nice-hta/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "ema-nice-hta", then confirm the skill loads.Claude Code copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$skill-installer install https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/global-access/skills/ema-nice-htaType this inside Codex. $skill-installer <name> installs a curated skill from openai/skills. The installer writes to $CODEX_HOME/skills (default ~/.codex/skills). Restart Codex if the skill does not show up.
$ npx skills add hh-health-AI/healthcare-equity --skill ema-nice-hta -a codexProject install goes to .agents/skills/; add -g for ~/.codex/skills/.
$ gh skill install hh-health-AI/healthcare-equity ema-nice-hta --agent codexProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .agents/skills && cp -r skills-src/modules/global-access/skills/ema-nice-hta .agents/skills/ema-nice-hta && rm -rf skills-srcUse ~/.agents/skills/ instead of .agents/skills for a personal install.
Codex skills documentation · loads skills from .agents/skills/
Install the "ema-nice-hta" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/global-access/skills/ema-nice-hta into .agents/skills/ema-nice-hta/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "ema-nice-hta", then confirm the skill loads.Codex copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill ema-nice-hta -a cursorProject install goes to .agents/skills/; add -g for ~/.cursor/skills/.
$ gh skill install hh-health-AI/healthcare-equity ema-nice-hta --agent cursorProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .cursor/skills && cp -r skills-src/modules/global-access/skills/ema-nice-hta .cursor/skills/ema-nice-hta && rm -rf skills-srcUse ~/.cursor/skills/ instead of .cursor/skills for a personal install.
Cursor skills documentation · loads skills from .cursor/skills/, .agents/skills/, .claude/skills/, .codex/skills/
Install the "ema-nice-hta" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/global-access/skills/ema-nice-hta into .cursor/skills/ema-nice-hta/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "ema-nice-hta", then confirm the skill loads.Cursor copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gemini skills install https://github.com/hh-health-AI/healthcare-equity.git --path modules/global-access/skills/ema-nice-hta--scope user (default) or --scope workspace; --path is the subfolder of the repo that holds the skill; --consent skips the security confirmation prompt.
$ npx skills add hh-health-AI/healthcare-equity --skill ema-nice-hta -a gemini-cliProject install goes to .agents/skills/; add -g for ~/.gemini/skills/.
$ gh skill install hh-health-AI/healthcare-equity ema-nice-hta --agent gemini-cliProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .gemini/skills && cp -r skills-src/modules/global-access/skills/ema-nice-hta .gemini/skills/ema-nice-hta && rm -rf skills-srcUse ~/.gemini/skills/ instead of .gemini/skills for a personal install, then run /skills reload.
Gemini CLI skills documentation · loads skills from .gemini/skills/, .agents/skills/
Install the "ema-nice-hta" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/global-access/skills/ema-nice-hta into .gemini/skills/ema-nice-hta/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "ema-nice-hta", then confirm the skill loads.Gemini CLI copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gh skill install hh-health-AI/healthcare-equity ema-nice-htaInstalls for Copilot at project scope by default; add --scope user for a personal install. Preview a skill first with gh skill preview. Needs GitHub CLI 2.90.0 or later (public preview).
$ npx skills add hh-health-AI/healthcare-equity --skill ema-nice-hta -a github-copilotProject install goes to .agents/skills/; add -g for ~/.copilot/skills/.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .github/skills && cp -r skills-src/modules/global-access/skills/ema-nice-hta .github/skills/ema-nice-hta && rm -rf skills-srcUse ~/.copilot/skills/ instead of .github/skills for a personal install. Commit .github/skills so cloud agent and code review can use it.
GitHub Copilot skills documentation · loads skills from .github/skills/, .claude/skills/, .agents/skills/
Install the "ema-nice-hta" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/global-access/skills/ema-nice-hta into .github/skills/ema-nice-hta/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "ema-nice-hta", then confirm the skill loads.GitHub Copilot copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill ema-nice-hta -a opencodeOpenCode documents no install command of its own. Project install goes to .agents/skills/; add -g for ~/.config/opencode/skills/.
$ gh skill install hh-health-AI/healthcare-equity ema-nice-hta --agent opencodeProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .opencode/skills && cp -r skills-src/modules/global-access/skills/ema-nice-hta .opencode/skills/ema-nice-hta && rm -rf skills-srcUse ~/.config/opencode/skills/ instead of .opencode/skills for a personal install.
OpenCode skills documentation · loads skills from .opencode/skills/, .claude/skills/, .agents/skills/
Install the "ema-nice-hta" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/global-access/skills/ema-nice-hta into .opencode/skills/ema-nice-hta/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "ema-nice-hta", then confirm the skill loads.OpenCode copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
Facts
- Skill name
ema-nice-hta- GitHub stars
- 101
- Token cost
- ~798 tokens
- SKILL.md length
- 395 words
- Files
- 2 (incl. references)
- Skills in repo
- 72
- Repo updated
- First seen
- Licence
- MIT
At a glance
This skill should be used when the user asks about "EMA", "CHMP opinion", "NICE", "G-BA", "AMNOG", "HAS", "European launch", "HTA", "EU pricing", "reimbursement in Europe", or wants ex-US launch…
- Works in 7 steps: Establish the regulatory position. CHMP… → Then map HTA country by country, because… → Build the access timeline per country:… → …
- European launch
- SKILL.md covers Workflow and Not-automatic
- Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md
What it does
Ema Nice Hta is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks about "EMA", "CHMP opinion", "NICE", "G-BA", "AMNOG", "HAS", "European launch", "HTA", "EU pricing", "reimbursement in Europe", or wants ex-US launch timing and price for a launching asset. Anchors prompt-library ID INTL-01.
Its SKILL.md is about 800 tokens, which your agent loads only when the skill is triggered. The skill folder holds 2 other files, including reference files (for example `references/hta-mechanics.md`).
It sits in Business, Finance & HR, covering Accounting and bookkeeping and Prompt engineering. The repository describes itself as: Synthesis engine for buy-side healthcare equity research. The licence is MIT.
When your agent uses it
- European launch
- Reimbursement in Europe
- Wants ex-US launch timing and price for a launching asset
Example prompts
- “CHMP opinion”
- “European launch”
- “EU pricing”
- “/ema-nice-hta”
Workflow steps
7 steps, taken from the first numbered list in SKILL.md.
- Establish the regulatory position. CHMP opinion date (monthly meeting highlights
- Then map HTA country by country, because approval and access are different events
- Build the access timeline per country: approval date, HTA submission, HTA
- Trace the reference-pricing cascade. Identify which countries reference the
- Read the comparator choice. In both AMNOG and HAS the comparator selected by the
- Watch the EU HTA Regulation joint clinical assessment, which centralises part of
- Emit the brief with per-country dates and price outcomes, and the cascade named.
What it can do on your machine
Read from SKILL.md and the folder at commit 6c7bda8. It shows what the files ask for, not the result of running them.
Tool permissions
Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.
From allowed-tools in the SKILL.md frontmatter.
Runs code
No scripts in the folder and no shell commands in SKILL.md.
From the folder's file list and the shell code blocks in SKILL.md.
Network
No URLs in SKILL.md.
From URLs in SKILL.md, links to its own repository left out.
Credentials
Names no API keys, tokens, secrets or passwords.
From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.
Context cost
Ema Nice Hta loads about 798 tokens when it runs, and up to ~1.5k if it reads all its reference files. Until then it costs about 71 tokens; SKILL.md has 395 words of instructions outside code blocks.
Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.
Safety
Auto-check passed
The automated check found no risky patterns in SKILL.md.
Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.
SKILL.md
The full file from hh-health-AI/healthcare-equity at commit 6c7bda8, republished under its MIT licence (© hh-health-AI). 395 words, ~798 tokens.
Download SKILL.mdSave it as
.claude/skills/ema-nice-hta/SKILL.md (or your agent's skills folder). This skill also uses 1 other file; get the full folder from GitHub.- name
- ema-nice-hta
- description
- This skill should be used when the user asks about "EMA", "CHMP opinion", "NICE", "G-BA", "AMNOG", "HAS", "European launch", "HTA", "EU pricing", "reimbursement in Europe", or wants ex-US launch timing and price for a launching asset. Anchors prompt-library ID INTL-01.
- metadata.version
- 0.1.0
- metadata.layer
- Regulatory
EMA and European HTA mapping
Map an asset from EMA opinion through national HTA to reimbursed price and date, per major market.
Workflow
- Establish the regulatory position. CHMP opinion date (monthly meeting highlights are the timely source), then European Commission decision roughly two months later. Note any accelerated assessment, conditional marketing authorisation or orphan designation, each of which changes both the timeline and the later HTA reception.
- Then map HTA country by country, because approval and access are different events:
- Germany — free pricing on launch, then the AMNOG process: G-BA benefit assessment with IQWiG input, then price negotiation with the GKV-SV, with the negotiated price effective from a fixed month after launch. The benefit category is the financial event; a finding of no additional benefit forces reference pricing.
- England — NICE technology appraisal, with the ICER threshold, the severity modifier, and confidential commercial arrangements. NICE timing relative to marketing authorisation is the practical determinant of NHS uptake.
- France — HAS transparency committee, with SMR determining reimbursement rate and ASMR determining the price premium against comparators.
- Scotland — SMC, faster than NICE and sometimes a leading indicator.
- Italy and Spain — AIFA and the regional processes, both slower; model the lag.
- Build the access timeline per country: approval date, HTA submission, HTA outcome, price agreement, first reimbursed sale. The gap between the first and last of these is the number the model needs and is routinely omitted from sell-side models.
- Trace the reference-pricing cascade. Identify which countries reference the price being set. A German or French price feeds a long list of external reference pricing systems, so a national negotiation can reset a far larger revenue base.
- Read the comparator choice. In both AMNOG and HAS the comparator selected by the authority determines the achievable price more than the trial data does. If the comparator is a cheap generic, the premium is capped regardless of efficacy.
- Watch the EU HTA Regulation joint clinical assessment, which centralises part of the clinical assessment across member states — it changes the sequencing and the evidence requirements, and pricing remains national.
- Emit the brief with per-country dates and price outcomes, and the cascade named.
Show full SKILL.md (34 more words)Show less
Not-automatic
A positive CHMP opinion does not license an ex-US revenue start date. Without the HTA outcome and the price agreement, the revenue line has no date and no level.
Reference: references/hta-mechanics.md. Contract: ../../references/evidence-brief.md.
© hh-health-AI, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file
Files
SKILL.md and 1 other file (references) in modules/global-access/skills/ema-nice-hta of hh-health-AI/healthcare-equity.
- SKILL.md
- references/hta-mechanics.md
Open the folder on GitHubat commit 6c7bda8
Compare with similar skills
Ema Nice Hta next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.
| Skill | Stars | Used in | Tokens | Auto-check | Licence | Repo updated |
|---|---|---|---|---|---|---|
| Ema Nice Hta this skillhh-health-AI/healthcare-equity | 101 | — | ~798 | Automated safety check: Pass | MIT | |
| Fastllm Limits Budgetsazrtydxb/Fastllm-proxy | 108 | — | ~467 | Automated safety check: Pass | Apache-2.0 | |
| Akshare Online AlphaLeoYeAI/openclaw-master-skills | 2.2k | — | ~1.6k | Automated safety check: Pass | MIT | |
| Sync Upstreamnyaruka/phonenumbers | 1.6k | — | ~2.8k | Automated safety check: Pass | MIT | |
| Radiology Tablehuang-sir1/radiology-skills | 1.9k | — | ~1.3k | Automated safety check: Pass | Custom licence | |
| ERPClaw ERP Controlleravansaber/erpclaw | 116 | — | ~18k | Automated safety check: Pass | GPL-3.0 |
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Related
Questions about Ema Nice Hta
What does Ema Nice Hta do?
This skill should be used when the user asks about "EMA", "CHMP opinion", "NICE", "G-BA", "AMNOG", "HAS", "European launch", "HTA", "EU pricing", "reimbursement in Europe", or wants ex-US launch…. Ema Nice Hta is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks about "EMA", "CHMP opinion", "NICE", "G-BA", "AMNOG", "HAS", "European launch", "HTA", "EU pricing", "reimbursement in Europe", or wants ex-US launch timing and price for a launching asset.
When should I use Ema Nice Hta?
Ema Nice Hta fits situations like: european launch; reimbursement in Europe; wants ex-US launch timing and price for a launching asset.
How do I install Ema Nice Hta in Claude Code?
Run `npx skills add hh-health-AI/healthcare-equity --skill ema-nice-hta -a claude-code`. Or copy the skill folder (modules/global-access/skills/ema-nice-hta in hh-health-AI/healthcare-equity) into .claude/skills/ema-nice-hta in your project. Claude Code loads it when a task matches its description.
How do I install Ema Nice Hta in Codex?
Run `npx skills add hh-health-AI/healthcare-equity --skill ema-nice-hta -a codex`. Or copy the skill folder (modules/global-access/skills/ema-nice-hta in hh-health-AI/healthcare-equity) into .agents/skills/ema-nice-hta in your project. Codex loads it when a task matches its description.
Can I use Ema Nice Hta in Cursor, Gemini CLI or GitHub Copilot?
Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add hh-health-AI/healthcare-equity --skill ema-nice-hta -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/ema-nice-hta, .gemini/skills/ema-nice-hta, .github/skills/ema-nice-hta and .opencode/skills/ema-nice-hta in your project.
What does Ema Nice Hta need to run?
SKILL.md names no scripts, command-line tools or credentials: Ema Nice Hta is instructions for the agent only.
Does Ema Nice Hta access the network?
SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.
Is Ema Nice Hta safe to install?
Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.
What licence does Ema Nice Hta use?
Ema Nice Hta is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.
How many tokens does Ema Nice Hta use?
About 798 tokens (SKILL.md is roughly 3.2k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full. Its references folder adds about 681 tokens, read only when the agent opens those files.
What are the alternatives to Ema Nice Hta?
Skills that share tags, products or a category with Ema Nice Hta: Fastllm Limits Budgets (azrtydxb/Fastllm-proxy, 108 stars), Akshare Online Alpha (LeoYeAI/openclaw-master-skills, 2.2k stars), Sync Upstream (nyaruka/phonenumbers, 1.6k stars) and Radiology Table (huang-sir1/radiology-skills, 1.9k stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.
Who maintains Ema Nice Hta?
hh-health-AI (a GitHub user) maintains it in hh-health-AI/healthcare-equity, which has 101 GitHub stars. The repository holds 72 skills in this directory. The repository was last updated on October 8, 2026.
Source: hh-health-AI/healthcare-equity on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.