What does the future hold for managed entry agreements?
This article was originally published in Scrip
Managed entry agreements (MEAs), also known as risk-sharing schemes or coverage with evidence development, have become an increasingly common tool used to achieve market access in Europe. MEAs were initially designed to enable patient access to new medicines despite uncertainty regarding their effectiveness in the real-world setting. Although the first schemes involved more complex outcome-based agreements, such outcome-based schemes have given way to simpler discounts despite a global drive for payment for value, says Datamonitor Healthcare's lead analyst on market access, Dr Tijana Ignjatovic.
You may also be interested in...
Including the impact on hospitalizations in the label for Novartis's heart failure drug Entresto was critical to enable execution of outcome-based agreements. Such deals present an opportunity for pharma and payers to work together, but many challenges remain.
Despite the challenges with the implementation of managed entry agreements, the debate involving these complex market access routes is not abating. Speakers at the International Society for Pharmacoeconomics and Outcomes Research Europe meeting in Milan on 7–11 November 2015 discussed current experiences with such agreements across Europe, as they are about to make a bigger showing across the Atlantic.
Four years after its introduction, Germany's early benefit assessment process continues to make waves in the industry.