Advanced Diagnostics Management

Molecular and genetic tests are changing what’s possible in medicine. Potentially fatal diseases can now be diagnosed far earlier. Consumers can understand health risks years before they develop symptoms. And expensive, risky drugs can be administered appropriately. With this innovation comes complexity and confusion about what tests to choose, how much they cost, and whether they should be reimbursed.

To realize the full power of advanced diagnostics, we need to simplify the system It’s crucial for all those involved to know which tests are available, medically appropriate, and covered by individual health plans—in short, we must understand the best choice of test at the right cost at the point of care.

Advanced Diagnostics Management connects providers, payors and diagnostic facilities to make simple, clear decisions by:

• Encouraging test selection and coverage determination based on clear clinical standards
• Simplifying and automating authorizations, orders, results, and reimbursement
• Analyzing data so that every test is an opportunity to justify or shift diagnostic thinking
• Empowering participants to make clear decisions that improve care and the bottom line