Informed Insights:
Coverage Decision FrameworkTM

Original research and analysis from InformedDNA

“An Inventive Approach to Genetic Test Policy Development for Health Plans”

Rapid advances in genomic science and precision medicine require new approaches to health plan policy and evidence review processes.

Using incomplete and outdated approaches to medical policy for complex genetic tests puts health plans at risk of lagging behind emerging science and not being able to efficiently apply policy to ensure members can benefit from the most current genetic science.

Based on our deep and broad genetics expertise, InformedDNA has developed a unique approach to address the gaps in current approaches to evidence review for emerging genetic tests.

InformedDNA’s Coverage Decision Framework™ takes an innovative approach to genetic test coverage determination, enabling health plans to develop timely policies that ensure members have access to the most current, effective and safe approaches to genomic medicine.

genetic test clinical utility factors


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More details on the methodology for our Coverage Decision Framework, including sources related to its development, are available in a 20-page whitepaper — click here to download.

Learn more about our Genetic Benefit Management™ services for health plans. Or, if you’re ready to chat, email us at; or, call us at 844-846-3763.