Cost and Coverage in Genomic Testing Medicine - Economic Perspectives

Cost and Coverage in Genomic Testing Medicine - Economic Perspectives

Ambry Genetics via YouTube Direct link

Intro

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1 of 10

Intro

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Cost and Coverage in Genomic Testing Medicine - Economic Perspectives

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  1. 1 Intro
  2. 2 Which outcomes or types of evidence matter? May vary by stakeholder type
  3. 3 Economic evaluation methods . Cost-effectiveness analysis (CEA)
  4. 4 Which economic evaluation method to use? • Payers may prefer budgetary impact analysis
  5. 5 What is a QALY? . Summary measure of population health
  6. 6 Cost-effectiveness . How to assess cost-effectiveness or cost savings - Comparison of two strategies
  7. 7 Modeling uncertainty in parameters • One-way sensitivity analyses - Parameters have specified range and distribution of estimates - Model is run using extreme estimates for each parameter leaving all
  8. 8 Medicare coverage of genomic tests and counseling . Genetic testing and counseling can be paid by Medicare for persons with certain diseases, based on medical necessity
  9. 9 Medicare and genetic testing for hereditary cancers: hereditary breast and ovarian cancer
  10. 10 Is genetic testing for hereditary cancers cost-effective? • Tumor testing for Lynch syndrome - In newly diagnosed patients with colorectal cancer (CRC) followed by

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