How can managed entry agreements contribute to coverage decisions in Latin America?
- Autores
- García Martí, Sebastián; Pichón-Riviere, Andres; Augustovski, Federico Ariel; Espinoza, Manuel
- Año de publicación
- 2024
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Context: Healthcare stakeholders in Latin America, including payers, manufacturers, and patients, seek to expedite access to technologies. However, uncertainty sometimes surrounds their true benefits and budgetary implications. Managed entry agreements (MEAs) are proposed to address this uncertainty by redistributing risks among key actors.Objectives: The objective of Health Technology Assessment International´s 2023 Latin American Policy Forum was to examine the potential utility of MEA in technology reimbursement and decision-making processes in the region.Methods: This article is based on a background document, a survey, and the deliberative work of the country representatives and others who participated in the Policy Forum.Results: Interest in MEA in Latin America is increasing, with financial agreements being more prevalent than those based on clinical outcomes. During the Policy Forum, potential barriers to MEA implementation were identified, such as the lack of legal frameworks, insufficient reliable data, and, in some cases, distrust among stakeholders. Some potential solutions were also identified, including early stakeholder involvement to enhance dialogue and understanding, and piloting shorter-duration MEA to facilitate the revision of agreement terms, especially in situations of epidemiological uncertainty.Conclusions: The Policy Forum served as a valuable platform for discussing the importance of flexible MEA implementation that acknowledges data uncertainty, promotes transparent dialogue to incorporate opinions and values from all stakeholders, and develops legal frameworks to support effective technology access schemes in Latin America.
Fil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Pichón-Riviere, Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Espinoza, Manuel. Pontificia Universidad Católica de Chile; Chile - Materia
-
DECISION MAKING
INSURANCE COVERAGE
HEALTH TECHNOLOGY ASSESSMENT
LATIN AMERICA - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/264457
Ver los metadatos del registro completo
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How can managed entry agreements contribute to coverage decisions in Latin America?García Martí, SebastiánPichón-Riviere, AndresAugustovski, Federico ArielEspinoza, ManuelDECISION MAKINGINSURANCE COVERAGEHEALTH TECHNOLOGY ASSESSMENTLATIN AMERICAhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Context: Healthcare stakeholders in Latin America, including payers, manufacturers, and patients, seek to expedite access to technologies. However, uncertainty sometimes surrounds their true benefits and budgetary implications. Managed entry agreements (MEAs) are proposed to address this uncertainty by redistributing risks among key actors.Objectives: The objective of Health Technology Assessment International´s 2023 Latin American Policy Forum was to examine the potential utility of MEA in technology reimbursement and decision-making processes in the region.Methods: This article is based on a background document, a survey, and the deliberative work of the country representatives and others who participated in the Policy Forum.Results: Interest in MEA in Latin America is increasing, with financial agreements being more prevalent than those based on clinical outcomes. During the Policy Forum, potential barriers to MEA implementation were identified, such as the lack of legal frameworks, insufficient reliable data, and, in some cases, distrust among stakeholders. Some potential solutions were also identified, including early stakeholder involvement to enhance dialogue and understanding, and piloting shorter-duration MEA to facilitate the revision of agreement terms, especially in situations of epidemiological uncertainty.Conclusions: The Policy Forum served as a valuable platform for discussing the importance of flexible MEA implementation that acknowledges data uncertainty, promotes transparent dialogue to incorporate opinions and values from all stakeholders, and develops legal frameworks to support effective technology access schemes in Latin America.Fil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Pichón-Riviere, Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Espinoza, Manuel. Pontificia Universidad Católica de Chile; ChileCambridge University Press2024-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/264457García Martí, Sebastián; Pichón-Riviere, Andres; Augustovski, Federico Ariel; Espinoza, Manuel; How can managed entry agreements contribute to coverage decisions in Latin America?; Cambridge University Press; International Journal Of Technology Assessment In Health Care; 40; 1; 12-2024; 1-70266-4623CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.cambridge.org/core/product/identifier/S0266462324000527/type/journal_articleinfo:eu-repo/semantics/altIdentifier/doi/10.1017/S0266462324000527info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:08:32Zoai:ri.conicet.gov.ar:11336/264457instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:08:32.932CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
How can managed entry agreements contribute to coverage decisions in Latin America? |
title |
How can managed entry agreements contribute to coverage decisions in Latin America? |
spellingShingle |
How can managed entry agreements contribute to coverage decisions in Latin America? García Martí, Sebastián DECISION MAKING INSURANCE COVERAGE HEALTH TECHNOLOGY ASSESSMENT LATIN AMERICA |
title_short |
How can managed entry agreements contribute to coverage decisions in Latin America? |
title_full |
How can managed entry agreements contribute to coverage decisions in Latin America? |
title_fullStr |
How can managed entry agreements contribute to coverage decisions in Latin America? |
title_full_unstemmed |
How can managed entry agreements contribute to coverage decisions in Latin America? |
title_sort |
How can managed entry agreements contribute to coverage decisions in Latin America? |
dc.creator.none.fl_str_mv |
García Martí, Sebastián Pichón-Riviere, Andres Augustovski, Federico Ariel Espinoza, Manuel |
author |
García Martí, Sebastián |
author_facet |
García Martí, Sebastián Pichón-Riviere, Andres Augustovski, Federico Ariel Espinoza, Manuel |
author_role |
author |
author2 |
Pichón-Riviere, Andres Augustovski, Federico Ariel Espinoza, Manuel |
author2_role |
author author author |
dc.subject.none.fl_str_mv |
DECISION MAKING INSURANCE COVERAGE HEALTH TECHNOLOGY ASSESSMENT LATIN AMERICA |
topic |
DECISION MAKING INSURANCE COVERAGE HEALTH TECHNOLOGY ASSESSMENT LATIN AMERICA |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.3 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
Context: Healthcare stakeholders in Latin America, including payers, manufacturers, and patients, seek to expedite access to technologies. However, uncertainty sometimes surrounds their true benefits and budgetary implications. Managed entry agreements (MEAs) are proposed to address this uncertainty by redistributing risks among key actors.Objectives: The objective of Health Technology Assessment International´s 2023 Latin American Policy Forum was to examine the potential utility of MEA in technology reimbursement and decision-making processes in the region.Methods: This article is based on a background document, a survey, and the deliberative work of the country representatives and others who participated in the Policy Forum.Results: Interest in MEA in Latin America is increasing, with financial agreements being more prevalent than those based on clinical outcomes. During the Policy Forum, potential barriers to MEA implementation were identified, such as the lack of legal frameworks, insufficient reliable data, and, in some cases, distrust among stakeholders. Some potential solutions were also identified, including early stakeholder involvement to enhance dialogue and understanding, and piloting shorter-duration MEA to facilitate the revision of agreement terms, especially in situations of epidemiological uncertainty.Conclusions: The Policy Forum served as a valuable platform for discussing the importance of flexible MEA implementation that acknowledges data uncertainty, promotes transparent dialogue to incorporate opinions and values from all stakeholders, and develops legal frameworks to support effective technology access schemes in Latin America. Fil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina Fil: Pichón-Riviere, Andres. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina Fil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina Fil: Espinoza, Manuel. Pontificia Universidad Católica de Chile; Chile |
description |
Context: Healthcare stakeholders in Latin America, including payers, manufacturers, and patients, seek to expedite access to technologies. However, uncertainty sometimes surrounds their true benefits and budgetary implications. Managed entry agreements (MEAs) are proposed to address this uncertainty by redistributing risks among key actors.Objectives: The objective of Health Technology Assessment International´s 2023 Latin American Policy Forum was to examine the potential utility of MEA in technology reimbursement and decision-making processes in the region.Methods: This article is based on a background document, a survey, and the deliberative work of the country representatives and others who participated in the Policy Forum.Results: Interest in MEA in Latin America is increasing, with financial agreements being more prevalent than those based on clinical outcomes. During the Policy Forum, potential barriers to MEA implementation were identified, such as the lack of legal frameworks, insufficient reliable data, and, in some cases, distrust among stakeholders. Some potential solutions were also identified, including early stakeholder involvement to enhance dialogue and understanding, and piloting shorter-duration MEA to facilitate the revision of agreement terms, especially in situations of epidemiological uncertainty.Conclusions: The Policy Forum served as a valuable platform for discussing the importance of flexible MEA implementation that acknowledges data uncertainty, promotes transparent dialogue to incorporate opinions and values from all stakeholders, and develops legal frameworks to support effective technology access schemes in Latin America. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-12 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/264457 García Martí, Sebastián; Pichón-Riviere, Andres; Augustovski, Federico Ariel; Espinoza, Manuel; How can managed entry agreements contribute to coverage decisions in Latin America?; Cambridge University Press; International Journal Of Technology Assessment In Health Care; 40; 1; 12-2024; 1-7 0266-4623 CONICET Digital CONICET |
url |
http://hdl.handle.net/11336/264457 |
identifier_str_mv |
García Martí, Sebastián; Pichón-Riviere, Andres; Augustovski, Federico Ariel; Espinoza, Manuel; How can managed entry agreements contribute to coverage decisions in Latin America?; Cambridge University Press; International Journal Of Technology Assessment In Health Care; 40; 1; 12-2024; 1-7 0266-4623 CONICET Digital CONICET |
dc.language.none.fl_str_mv |
eng |
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eng |
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info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by/2.5/ar/ |
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https://creativecommons.org/licenses/by/2.5/ar/ |
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application/pdf application/pdf application/pdf |
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Cambridge University Press |
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Cambridge University Press |
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CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
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dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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