payor coverage

The final decision includes some changes, most notably removing requirements for guideline inclusion, but retains its technical performance benchmarks.

The partners will also collaborate on a study, to be peer reviewed, that will evaluate how insurance coverage of WGS affects patient care and healthcare costs.

Aetna's move comes at a time when a number of insurers including UnitedHealthcare have begun offering coverage of NIPT for average-risk pregnancies.

Several analysts said that the decision by UHC, the largest private payor in the US, will especially benefit Natera.

The firm said it will dispute the claim of overpayment and will separately negotiate with the undisclosed payor for in-network status.

As a result of the expanded coverage, Natera said it believes there are currently 139 million people covered in the US for average risk NIPT.

The agency issued a new draft decision memo, outlining various criteria it intends to apply when determining coverage for current and future blood-based CRC screening tests.

Myriad Genetics' EndoPredict, Agendia's MammaPrint (distributed in Germany by PathoNext), and Veracyte's Prosigna will now be covered by public insurance.

Natera said that the expanded coverage by Centene will add 24 million people for whom the Panorama noninvasive prenatal test will be covered.