# Managed entry agreements
> Strategic design support for outcomes-based, risk-share and managed-entry approaches.
Source: https://www.visfo.health/projects/managed-entry
Tags: Sprint

_Strategic design support for outcomes-based, risk-share and managed-entry approaches._

We help shape the managed-entry approach (outcomes-based, risk-share or installment), sized to the asset, the payers and the data you can credibly produce. Written up as a strategic playbook with per-country options and a contracting decision tree. Negotiation and legal contracting stay with your teams.

## What it is

A strategic playbook for outcomes-based, risk-share, installment and other managed-entry approaches. Sized to the asset, the payers and the data you can credibly produce, not lifted from a precedent that does not fit. We support the design and the evidence behind it; negotiation and legal contracting stay with your teams.

Built for access teams negotiating where straight discount is not on the table, pricing pressure, evidence uncertainty, budget impact concerns or political optics force a more structured arrangement.

## How we run it

1. **Frame** — Agree the priority payers, the deal levers on and off the table, the data the asset can credibly produce and the precedent that bounds the conversation.

2. **Ingest** — Pull comparator deal precedent, payer archetype framing, model outputs and the asset's evidence trajectory into the playbook.

3. **Synthesise** — Design the managed-entry approach per payer archetype, with the contracting decision tree, the metrics that trigger payment and the operational shape the team can actually run.

4. **Deliver** — Ship the written playbook with per-country plays, the decision tree and a working session with access and finance.

## What you get

- Written managed-entry playbook with per-country plays

- Contracting decision tree across deal types

- Outcome metrics, data sources and operational shape per play

- Risk register and walk-away criteria

- Working session with access, finance and legal