- Solutions
- Health Plans
Manage costs and optimize outcomes for your genomic benefits program
Enhanced Solutions Leveraging the Most Current Genomics Expertise
The rapid growth in genomics has made it difficult for health plans to keep up with in-house policy development, processes and practice. InformedDNA’s genomic benefits management (GBM) solutions help health plans to:
- Align guidelines to the highest quality of genomics care
- Manage costs and payments
- Guide members to the right care for their needs
A Trusted Genomics Partner for Health Plans
InformedDNA is the leading applied genomics solutions company that partners with health plans to help guide the genomic decisions needed to optimize care for your members while responsiblity managing spend.
Stay Current on Precision Medicine
With more than 150,000 genetic tests on the market and proven evidence of utility, health plans need access to current genomics expertise for effective policy development.
Adapt and Adopt the Latest Evidence-Based Criteria for Genomic Testing
Reduce Inappropriate Costs
If left unchecked, genetic testing spend can grow >15% annually. But health plans can ensure appropriate testing and eliminate suboptimal spending on downstream treatments and procedures.
Support the Member Journey
Genetic counseling helps members understand the complexities of genetic testing, from weighing the benefits and limitations to breaking down the details of the results.
Get Expert Support When It's Needed
Expert Case Reviews
Our experienced genetic professionals carefully analyze case-specific information and clinical utility to guide providers to the most appropriate testing options.
Stay Ahead of the Genomics Revolution
To remain competitive, health plans must demonstrate their ability to keep pace with medical innovations while controlling costs. Today, many of these innovations are coming from genomic medicine, which is routinely identifying the hereditary components of conditions affecting all aspects of health and wellness and increasingly driving treatment planning and use of therapeutics.
The field of genomics holds tremendous potential to help achieve plan goals by actualizing the kind of personalized, precision medicine that can mitigate risk and enable superior health outcomes.
However, genomics is currently like the “wild west,” and health plans need to actively ensure that they are staying ahead of the genomics revolution and responsibly deploying precision medicine to help providers and members achieve better health outcomes.
To do this, health plans must adopt a holistic approach to genomic benefits management (GBM) that enables optimized results across genomics-based care, cost, and access. When done right, GBM furthers the tenets of value-based care and the Quadruple Aim for the entire industry.
With the collaboration of an innovative partner like InformedDNA, health plans can ensure they are staying ahead of the genomics revolution and responsibly deploying precision medicine to help providers and members achieve better health outcomes.
InformedDNA’s genetics expertise and consultative services help us stay ahead of the curve in the rapidly changing field of genetic testing. Their telephonic genetic counselors extend our network and support our customers with convenient and comprehensive counseling that helps them make more informed decisions about potentially life-changing matters.
– Jeffrey Hankoff, M.D., Medical Officer, Cigna
Client Testimonial
Let’s talk about your needs!
Thank you for considering InformedDNA as your applied genomics solutions company. Please let us know how we can help meet your needs.
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Your Trusted Partner in Applying Genomic Science
InformedDNA was the nation’s first telehealth genomics services company. Our real-world clinical guidance, cost management and patient navigation solutions are built upon the most current genomics insights and are designed to optimize clinical decisions across the care delivery spectrum.
We have helped manage the health benefits of more than 135 million covered lives and have navigated hundreds of thousands of people to the right treatments or clinical trials.
Control the hidden costs of genetic benefits
Stop paying for unnecessary tests and improperly coded claims
25-30%
30%
20%
Coverage Decision Framework™
An innovative approach to genetic test coverage determination enables health plans to develop policies that ensure members have access to the most current, effective, and safe procedures in genomic medicine.
Reduce PMPM Cost With Payment Integrity
Ensure genetic test claims are coded, submitted, and paid appropriately with an automated and enhanced edit process. Learn how one plan saved $27M in one year:
Built by the Largest Independent Team of Genomics Experts
Our real-world experience spans a broad and deep spectrum of specialties:
• Cancer genetics
• Cardiac genetics
• Neurogenetics
• Ocular genetics
• Reproductive genetics
• Adult and pediatric genetics
• Pharmacogenomics
• Whole genome/exome sequencing
Trusted by Leading Health Organizations
InformedDNA’s genomic benefits management solutions help health plans to ensure the most appropriate clinical outcomes for members, while also significantly reducing the spend on unnecessary or inappropriate genetic tests.
Our approach – which supports clinical guidance, utilization management, claims management, genetic counseling, and patient navigation services – addresses all areas where genetic testing affects health plans and their in-network providers and members.
As a result, our clients are able to eliminate wasteful and unnecessary spending totaling as much as 45% of current genetic testing costs.
Optimize genomics-related decision making with solutions for:
Health Plans
Healthcare Providers
Achieve harmonized results across genomics-based
care, cost, and access.
