{"id":825,"date":"2022-09-06T16:34:48","date_gmt":"2022-09-06T16:34:48","guid":{"rendered":"https:\/\/www.concert.co\/resources\/definitive-guide-to-genetic-testing-for-health-plans-2\/"},"modified":"2024-04-29T18:24:00","modified_gmt":"2024-04-29T18:24:00","slug":"definitive-guide-to-genetic-testing-for-health-plans-part-2","status":"publish","type":"resources","link":"https:\/\/www.concert.co\/resources\/definitive-guide-to-genetic-testing-for-health-plans-part-2\/","title":{"rendered":"Definitive Guide to Genetic Testing for Health Plans (Part II)"},"content":{"rendered":"<div class=\"s2\"><span style=\"color: #9bc819;\"><strong>The Solution:<br \/>\n<\/strong>Unify UM, claims &amp; network management for an end-to-end genetic testing solution.<\/span><\/div>\n<hr \/>\n<div class=\"s5\"><span style=\"color: #9bc819;\"><em>This whitepaper is Part II of a 2-part series. Part I, which focuses on the challenges in genetic testing and requirements for an effective solution, is <span style=\"color: #00b4b4;\"><a style=\"color: #00b4b4;\" href=\"https:\/\/www.concertgenetics.com\/resources\/definitive-guide-to-genetic-testing-for-health-plans\/\" target=\"_blank\" rel=\"noopener\">available here<\/a><\/span>.\u00a0<\/em><\/span><\/div>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-1745 size-full\" src=\"https:\/\/www.concert.co\/wp-content\/uploads\/2024\/04\/Screen-Shot-2022-09-06-at-11.25.10-AM.png\" alt=\"\" width=\"369\" height=\"466\" \/><\/p>\n<p class=\"body-md\">Genetic testing has been in clinical use for more than 20 years, yet most health plans continue to experience unnecessary waste and administrative burden associated with it. This is true even for plans that have a vendor (or multiple) engaged to manage it. This is because prevailing solutions do not address the fundamental challenges presented by genetic testing.<\/p>\n<p class=\"body-md\">The Concert Genetic Benefit Program solves the fundamental challenges in genetic testing management, providing test identification, coding standards, evidence-based coverage criteria, pricing data, and payment accuracy capabilities, all integrated on a common data platform for efficient implementation. The program has clinical, operational &amp; financial benefits that improve performance and yield measurable results.<\/p>\n<p class=\"body-md\">This whitepaper provides a deeper look into the components of the Concert program and how they generate value for the health plan. These include:<\/p>\n<p class=\"p1 body-md\" style=\"padding-left: 40px;\"><strong>Network management<br \/>\n<\/strong><span style=\"color: #9bc819;\">Payment Policy<\/span><br \/>\n<span style=\"color: #9bc819;\">Market-Based Fee Schedule<\/span><br \/>\n<span style=\"color: #9bc819;\">Lab Contracting Support<\/span><br \/>\n<span style=\"color: #9bc819;\">Preferred Lab Program<\/span><\/p>\n<p class=\"p1 body-md\" style=\"padding-left: 40px;\"><strong>Medical Management<br \/>\n<\/strong><span style=\"color: #9bc819;\">Medical Policy<\/span><br \/>\n<span style=\"color: #9bc819;\">Utilization Management\/Prior Authorization Support<\/span><\/p>\n<p class=\"p1 body-md\" style=\"padding-left: 40px;\"><strong>Claims &amp; Payment Integrity<br \/>\n<\/strong><span style=\"color: #9bc819;\">Post-pay analytics<\/span><br \/>\n<span style=\"color: #9bc819;\">Pre-pay claim edits<\/span><\/p>\n<p class=\"body-md\">In addition, <strong>Case Studies<\/strong> of successful health plan customers detail the clinical, operational, and financial benefits of the Concert program.<\/p>\n<p class=\"body-md\">To access the whitepaper instantly, complete the form on this page.<\/p>\n","protected":false},"featured_media":826,"parent":0,"menu_order":0,"template":"","resourcecategory":[28],"resource-type":[37],"class_list":["post-825","resources","type-resources","status-publish","has-post-thumbnail","hentry","resourcecategory-health-plans","resource-type-white-paper"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Definitive Guide to Genetic Testing for Health Plans (Part II) - Concert<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.concert.co\/resources\/definitive-guide-to-genetic-testing-for-health-plans-part-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Definitive Guide to Genetic Testing for Health Plans (Part II) - Concert\" \/>\n<meta property=\"og:description\" content=\"The Solution: Unify UM, claims &amp; network management for an end-to-end genetic testing solution. 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