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Benefits Strategy

Genetic Testing and Treatments: Key Challenges and Recommendations for Employers

This section outlines the basic concepts related to precision medicine and key challenges facing employers in managing the complexity and cost of genetic testing and therapy within their health plans and provides a summary of recommendations covered throughout this guide.

November 27, 2023

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TABLE OF CONTENTS

  1. Genetic Testing Has Clinical Utility, But It Should Not Be Used to Satisfy Patient Curiosity
  2. Use Prior Authorizations…Efficiently
  3. Precision Medicine Coverage Decisions Are Complex
  4. Cost Is a Factor for Genetic Testing—And You Don’t Always Know What You’re Paying For
  5. While Steering to Quality, Engage with Providers with Expertise in Genetic Testing
  6. Gene Therapies May Enhance Patient Care but… They Bring Unprecedented Cost Challenges and Long-term Evidence Is Not Yet Available
  7. A Word About Privacy and Ethical Considerations
  8. Member Education and Resources