Reimbursement News
Reimbursement news and insurance coverage updates.
Genomic Testing Cooperative's Hematologic Neoplasms, Solid Tumor Tests Receive NY State Approval, Medicare Coverage
The next-generation sequencing-based tests can be performed on small samples, including needle aspiration samples, and use artificial intelligence software.
Roche, Canadian Organizations Launch Real-World Evidence Framework in British Columbia
The aim within the initiative is to generate and assess real-world evidence, and use the data to support reimbursement for precision oncology therapies.
The proposed change would delete payable cancer codes if they contain the word "unspecified" even if the word is included in a code that doesn't impact coverage.
Amid more tests, drugs, and emerging evidence, commercial insurance coverage for comprehensive genomic profiling remains inconsistent, contributing to access disparities.
Medicare Expands Coverage for Hologic's Biotheranostics Breast Cancer Test
The firm said that the expanded coverage provides more women with access to a test that helps determine whether extended endocrine therapy is appropriate.