Economic Impact of Coverage Expansion for Non-invasive Prenatal Testing Through a Performance-Based Risk-Sharing Agreement.

ABSTRACT:

Background

Harvard Pilgrim Health Care expanded coverage for non-invasive prenatal testing (NIPT) to include all pregnant, single-gestation women aged < 35 years, through a performance-based risk-sharing (PBRS) agreement with Illumina to offset costs from coverage expansion. NIPT analyzes cell-free DNA fragments from a maternal blood sample to screen for fetal aneuploidies and is considered a more accurate screening method than conventional serum biochemical screening and nuchal translucency ultrasound-based approaches.

Objective

This study assessed the impact of NIPT coverage expansion on prenatal screening strategies and payer expenditures.

Methods

This was a real-world comparison of utilization and expenditures of prenatal screening and diagnostic testing in pregna

SUBMITTER: Quinlan TAG 

PROVIDER: S-EPMC7944877 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature