How can managed entry agreements contribute to coverage decisions in Latin America?

Area of Science:

• Health Economics
• Health Technology Assessment
• Latin American Healthcare Policy

Background:

• Healthcare stakeholders in Latin America aim to accelerate technology access.
• Uncertainty regarding benefits and costs often hinders this process.
• Managed entry agreements (MEAs) are proposed risk-sharing mechanisms.

Purpose of the Study:

• To explore the utility of MEAs in Latin America's technology reimbursement and decision-making.
• To address challenges and identify solutions for MEA implementation in the region.

Main Methods:

• Analysis of a background document.
• A survey of relevant stakeholders.
• Deliberative work from a policy forum with country representatives.

Main Results:

• Growing interest in MEAs in Latin America, with a focus on financial agreements over clinical outcomes.
• Identified barriers include lack of legal frameworks, insufficient data, and stakeholder distrust.
• Proposed solutions involve early stakeholder engagement and piloting shorter-duration MEAs.

Conclusions:

• Flexible MEA implementation is crucial, acknowledging data uncertainty.
• Transparent dialogue is essential to incorporate diverse stakeholder perspectives.
• Developing supportive legal frameworks can enhance technology access schemes.