Managed entry agreement (MEA)

An arrangement between a manufacturer and payer/provider that enables access to (coverage/reimbursement of) a health technology subject to specified conditions. These arrangements can use a variety of mechanisms and are usually classified into financial-based and performance-based MEA.
Types of managed entry agreements:
• Access with evidence development (AED)
• Conditional coverage
• Conditional treatment continuation (CTC)
• Coverage with evidence development (CED)
• Only in research (OIR)
• Only with research
• Outcome guarantees
• Patient access scheme (PAS)
• Pattern or process care
• Performance based agreement
• Performance based health outcome reimbursement schemes
• Performance-linked reimbursement
• Price volume agreements
• Risk sharing schemes