Who we are

  • A team of highly qualified professionals providing access to all aspects of healthcare consulting relevant for your organisation
  • With its team of experts in these and further fields, Step-Wiser builds on the proven expertise of these four excellent providers and goes further, offering full-fledged integrated healthcare business consulting




Infarama Prospex Smart & BI e&a


Located in Belgium – the business center of excellence in Europe – and founded in October 2008 by Noëlla Heyman and Marian Coquel. The registered office of the company is located in the province of Limburg, in what is also called the Euregio. The Quality activities are managed from the subsidiary situated close to Brussels. infarAMA‘s know-how, based on more than twenty five years of experience, guarantees an accurate realisation of the Step-Wiser projects. infarAMA‘s core areas of expertise are Regulatory Affairs, Quality, Vigilance, Information & Publicity and Translation from small local pharmaceutical enterprises to world-wide leading health care companies for medicinal products, herbal remedies, medical devices and food supplements. infarAMA‘s mission is to take care of your technical, scientific and administrative projects when you are in need of a partnership with an experienced team. Within Step-Wiser infarAMA can be an added value for all your global regulatory realisations.


Strategy & foresight, stakeholder engagement, negotiation & conflict resolution – These are the core areas of expertise of Prospex, the internationally active consultancy based in Belgium. Our excellence in enabling strategic cooperation makes us a valued partner for companies and organisations seeking successful strategies for changing environments, effective dialogue and lasting agreements. We have worked with originators and generic players of different sizes (Novartis, GSK, UCB, family-owned & smaller sizes companies, etc.), with public institutions (WHO, ASEF, Red Cross, OECD, European Commission, EIT, Flemish Government, etc.), with leading research departments and institutions as well as with civil society organisations in Belgium, Europe and globally. Within Step-Wiser, Prospex helps clients set the right course and navigate skillfully through the complex health landscape in Belgium and Europe, enabling lasting success.

Smart & BI

Smart&Bi, founded in 2010 by Vera Bormans, is an independent consultancy organisation providing decision support services for the healthcare sector. At Smart&Bi, we have extensive experience in the development of reimbursement schemes. With numerous factors keeping regulations in constant evolution, we take a customised approach to every application for reimbursement. By doing so, we are able to meet the demands of parties on both sides of the exchange; applicants seeking recognition of the value of their pharmaceutical technology, and competent authorities who look for value for money. It is crucial that we clearly identify the specific patient population in which the therapeutic value is optimised, and the willingness of competent authorities to pay for this value. At the same time, we ensure all legal and administrative requirements are fulfilled.

e&a farma

e&a is a specialised health policy consultancy, offering services in Strategic Advice, Market Access and Public & Regulatory Affairs in Belgium, the BeNeLux and the EU. It is our objective to help develop our client’s business and its many disciplines, resulting in increased efficiency and higher business results. This is practiced in collaboration with and for our clients following a tailor-made approach. E&a Has more than twenty years of experience in the health sector, specializing in the representation and defense of companies, products and associations with authorities, academics, and health care professionals. E&a offers extensive knowledge of Regulatory Affairs, Public Affairs, Health Economics and Market Access, with experience in applications for medicines, medical devices and food supplements but also in the management and policy of dispensing pharmacies.