TAILIEUCHUNG - Personalized Medicine: Trends and prospects for the new science of genetic testing and molecular diagnostics

As reported in our new national survey, most physicians think more of their patients could benefit from these new techniques, and most consumers are optimistic about the potential benefits. This working paper is a contribution to the debate about how best to bring this about. This is the seventh in a series of working papers from the UnitedHealth Center for Health Reform & Modernization. Our published work to date has examined cost containment in Medicare, the future of Medicaid, options for lowering the . budget deficit, new models for diabetes prevention and treatment, modernizing rural health care, and using technology to cut administrative. | Personalized Medicine Trends and prospects for the new science of genetic testing and molecular diagnostics Working Paper 7 March 2012 Table of Contents Preface . 2 Executive Summary of selected Chapter 1 Introduction - what are genetic tests and molecular diagnostics . 10 Chapter 2 How widely are genetic tests and molecular diagnostics currently being used . 12 Chapter 3 What do consumers and physicians think about genetic testing . 19 Chapter 4 Ensuring patients benefit from the new science of genetic testing and molecular 1. Protecting supporting and informing patients through data confidentiality non-discrimination and decision 2. Benefiting patients by developing the clinical evidence base to determine which tests work . 27 3. Stimulating future progress by encouraging the development of tests that are proven to 4. Monitoring care through more transparent coding and 5. Protecting patients by ensuring that lab tests are performed safely and 6. Making it easier for health professionals to stay up-to-date as genetic science Appendices 1. Definitions used in genetic testing and molecular 2. Types of genetic tests and molecular 3. Categories of tests applications in clinical practice and 4. Developing the evidence 5. How payers make coverage decisions for genetic testing and molecular 6. Medicare reimbursement for clinical laboratory 7. . coding practices for genetic testing and molecular 8. Quality assurance at laboratories performing genetic testing and molecular 9. Methodology - survey of consumers and physicians and analysis of UnitedHealthcare claims

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