Genetic testing is dynamic, fast-growing and highly complex. Unreliable coding, variable pricing, limited quality assessments and an ever-changing landscape of laboratories and tests result in disproportionate time and effort being spent on management. Yet errors, overpayments and waste are commonplace. Built on three key components, Magellan Healthcare’s innovative and comprehensive genetic testing solution enables health plans to manage variation and risk while reducing administrative burden and medical costs.
- Expert-informed medical policies and guidelines—Machine-readable medical policies to apply evidence-based standards through rules, and reimbursement policy to establish clear expectations with laboratories
- Proprietary technology platform—A unique, comprehensive platform links all genetic tests with policies, codes and prices, enabling claim edits and other automation
- Preferred laboratories—High-quality, high-value labs commit to Magellan’s quality standards, billing integrity and reducing denials from inappropriate claims
Watch our Webinar
Webinar – Genetic Testing: Effective Management Strategies
In this webinar, Magellan’s Caroline Carney, MD, MSc, FAPM, CPHQ, chief medical officer, and Concert Genetics’ Rob Metcalf, chief executive officer, and Gillian Hooker, PhD, ScM, LCGC, chief scientific officer, discuss problems with this expanding market, management strategies designed to address this complex area of healthcare and Magellan’s genetic testing solution, and answer audience questions. Watch the recording here.