Category: Health Plans
Concert Genetics Launches Genetic Test Payment Accuracy Solution for Medicare and Medicare Advantage

Solution delivers payment accuracy and billing compliance in one of Medicare’s highest growth segments NASHVILLE, Tenn. (Aug 26, 2021) – Concert Genetics has launched a genetic testing payment accuracy and compliance solution for Medicare and Medicare Advantage plans. The offering extends Concert’s innovative solution for commercial plans, providing unparalleled test identification, coding consistency, and automated […]


Thu. August 26, 2021
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Concert Genetics Unveils Comprehensive Genetic Test Identification System to Enable Automation in Precision Medicine

Unique IDs for more than 160,000 genetic testing products released for use in test ordering, authorization, coverage, payment, and clinical decision support NASHVILLE, Tenn. (June 24, 2021) – Concert Genetics has released its comprehensive genetic test identification system for use in the market, enabling a level of automation in test ordering, coverage, payment and clinical […]


Thu. June 24, 2021
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Concert Genetics Launches Preferred Laboratory Network

Invitae, PreventionGenetics, GeneDx first to join network with rigorous quality, service and billing integrity standards NASHVILLE, Tenn. (Jan. 12, 2021) – As part of its ongoing commitment to advance transparency and efficiency in precision medicine, Concert Genetics today announced the launch of a preferred network of genetic testing laboratories. Invitae, PreventionGenetics, and GeneDx Inc., a […]


Tue. January 12, 2021
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Concert Genetics Unveils End-to-End Genetic Testing Management Program for Health Plans

Concert Genetics Benefit Program combines policy, payment integrity, and a preferred laboratory network to improve quality, reduce complexity, and eliminate manual effort NASHVILLE, Tenn. (Dec. 21, 2020) – Concert Genetics today unveiled the Concert Genetics Benefit Program, an end-to-end genetic testing management solution that enables health plans to provide members with access to high-quality, clinically […]


Mon. December 21, 2020
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The Burgess Group Selects Concert Genetics to Power Genetic Test Claims Payment Automation

ALEXANDRIA, Va. and NASHVILLE, Tenn. (December 15, 2020) – The Burgess Group (“Burgess”), a HealthEdge company, an innovative payment integrity software company focused on improving healthcare payment operations through technology, has selected Concert Genetics to deliver genetic testing claim edits within the Burgess Source® claims payment automation and business intelligence platform. The solution integrates Concert’s […]


Tue. December 15, 2020
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Concert Genetics and Trapelo Health Partner to Advance Molecular Oncology Decision Support

Partnership Seeks to Lower Barriers to Evidence-Based Molecular Oncology Care by Extending Trapelo’s Decision Support Solutions Through Concert’s Network of Labs and Health Plans BURLINGTON, Ma. and NASHVILLE, Tenn. (Dec. 10, 2020) – Concert Genetics and Trapelo Health announced today that they have partnered to provide a streamlined, integrated solution that will expand access to evidence-based, […]


Thu. December 10, 2020
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Zelis and Concert Genetics Launch Genetic Testing Claim Editing Solution

Companies Provide Pre-payment Solution to Improve Coding and Billing Accuracy BEDMINSTER, NJ and NASHVILLE, TN – September 24, 2020 – Zelis, the healthcare industry’s leading claims cost and payments optimization platform with superior technology and solutions to price, pay and explain claims, and Concert Genetics, a technology company dedicated to advancing precision medicine, have launched […]


Thu. September 24, 2020
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Overcoming the Challenges of Genetic Test Identification for Billing & Reimbursement

The Genetic Health Information Network Summit has become a forum for influential leaders across healthcare to articulate practical challenges and brainstorm solutions to enable precision medicine. One recurring theme of these events (summarized here) is the ambiguity in the systems used to identify genetic tests for billing, adjudication, and reimbursement. It is no secret that […]


Mon. September 21, 2020
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Report:
Understanding Genomic Testing Utilization & Coverage in the U.S.

Today, we are pleased to announce the release of a new report: Understanding Genomic Testing Utilization & Coverage in the U.S. Developed in collaboration with the Blue Cross Blue Shield Association, Illumina, and Personalized Medicine Coalition (PMC), this report draws insights about the clinical adoption of genomic testing using health insurance claims and coverage policies. […]


Fri. August 7, 2020
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[Webinar]
Precision Medicine for Health Plans

We are pleased to offer this upcoming webinar in collaboration with Burgess and RJ Health. Precision Medicine for Health Plans: Managing coverage and reimbursement amidst the rapid evolution of genetic testing and targeted therapies Wednesday, Feb. 13th 1:00-2:00 pm CT Register here The pace of advancement in genetics and precision medicine is staggering. Today, there […]


Wed. February 6, 2019
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Announcing The New and Improved Concert Platform

Latest update adds insurance coverage information and other enhancements to the market’s leading genetic test order management platform Earlier today, we announced the release of the latest version of our genetic test ordering management system – The Concert Platform (formerly GeneConnect®) – adding compelling new capabilities to a platform used by leading hospitals and health […]


Thu. February 8, 2018
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[Webinar Recap] Genetic Testing Management for Health Plans: Cost, quality and value.

Last month, leading health plan executives joined us for an in-depth discussion on managing the cost, quality and value of genetic testing. The exchange offered an inside look at their efforts to manage genetic testing and included practical advice for health plan leaders seeking to better manage this space. Highlights from the discussion include: Costs are rising fast. “Our spend […]


Thu. January 5, 2017
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Introducing Concert for Health Plans: The Next Step Towards Achieving Transparency and Efficiency in Genetic Testing

Since the launch of Concert Genetics (formerly NextGxDx) in 2010, we have been dedicated to enhancing the transparency of genetic testing data and streamlining the complex processes related to the selection, ordering, and management of genetic tests. As the marketplace has grown to include more than 60,000 unique genetic testing products, we’ve seen how technology and […]


Tue. April 5, 2016
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The Promise of Data Science and the Challenges of the Clinical Workflow (notes from #PMWC16)

One of the most exciting things to behold at this year’s Personalized Medicine World Conference  is the increasingly innovative ways that companies and healthcare providers are combining disparate data sources and deploying analytic tools to generate insights that are useful and actionable for clinicians. This is no small feat. It won’t surprise anyone reading this […]


Wed. January 27, 2016
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