MedCity News December 18, 2022
Without the help of genomics specialists, it is hard for health plans to manage genomic benefits efficiently and effectively. Now is the time for health plans to evaluate their genomic benefits management programs to find the right expert guidance and utilization management support.
It’s easy for health plans to think about genomics as “just another specialty” to manage, much like radiology or cardiology. However, given the dynamic nature of the field and the ever-changing testing landscape with little regulation, genomics must be approached differently when developing clinical policy and enacting utilization management strategies.
Here’s why:
There are now more than 167,000 genomics tests on the market. Yet there are only a little over 400 CPT codes to represent them. That...
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