Policy & Benefit Support Program

Offering Health Plans Clear Guidance for Policy and Coverage Decisions

The Challenges

  • Limited genetic expertise in the market
  • Rapid expansion in molecular and genetic testing making it hard to keep genetic testing coverage guidelines and policies up-to-date
  • Inappropriate testing and sub-optimal information available for clinical decision making

Key Features

  • Easy to implement web-enabled Policy Development Portal
  • Expert clinical support for policy development
  • Test list with coverage recommendations (800 tests)
  • Detailed clinical summaries (600+ tests)
  • Online coverage decision support tool for over 200 genetic tests
  • On-demand access to genetic experts for case reviews
  • Customizable based on health plan policies

Value

  • Assists in developing and managing clinical policies and implementing clear, consistent coverage criteria
  • Enables more timely, evidence-based coverage decisions
  • Reduces waste associated with inappropriate testing
  • Provides access to expertise across genetic specialties to help improve clinical outcomes

To learn more, contact DNA Direct.