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Cost and Coverage in Genomic Testing Medicine - Economic Perspectives

Ambry Genetics via YouTube

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Overview

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This course covers the economic perspectives on cost and coverage in genomic testing medicine. The learning outcomes include understanding the terms and analytic methods used in economic evaluation of healthcare interventions, how payers make value-based coverage decisions, and implications for adopting new genomic technologies in clinical practice. The course teaches economic evaluation methods such as cost-effectiveness analysis, budgetary impact analysis, and the concept of QALY. The teaching method includes reviewing real-world examples and discussing the cost-effectiveness of genetic testing for hereditary cancers. This course is intended for healthcare professionals, policymakers, researchers, and individuals interested in the economic aspects of genomic testing in medicine.

Syllabus

Intro
Which outcomes or types of evidence matter? May vary by stakeholder type
Economic evaluation methods . Cost-effectiveness analysis (CEA)
Which economic evaluation method to use? • Payers may prefer budgetary impact analysis
What is a QALY? . Summary measure of population health
Cost-effectiveness . How to assess cost-effectiveness or cost savings - Comparison of two strategies
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
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
Medicare and genetic testing for hereditary cancers: hereditary breast and ovarian cancer
Is genetic testing for hereditary cancers cost-effective? • Tumor testing for Lynch syndrome - In newly diagnosed patients with colorectal cancer (CRC) followed by

Taught by

Ambry Genetics

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