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Health Aff (Millwood). 2018 May;37(5):710-716. doi: 10.1377/hlthaff.2017.1427.

Genetic Test Availability And Spending: Where Are We Now? Where Are We Going?

Author information

1
Kathryn A. Phillips ( Kathryn.Phillips@ucsf.edu ) is a professor of health economics and health services research in the Center for Translational and Policy Research on Personalized Medicine, Department of Clinical Pharmacy, University of California San Francisco (UCSF).
2
Patricia A. Deverka is a senior researcher at the American Institutes for Research, in Chapel Hill, North Carolina.
3
Gillian W. Hooker is vice president of clinical development at Concert Genetics, in Franklin, Tennessee.
4
Michael P. Douglas is a program manager in the Center for Translational and Policy Research on Personalized Medicine, Department of Clinical Pharmacy, UCSF.

Abstract

Genetic testing and spending on that testing have grown rapidly since the mapping of the human genome in 2003. However, it is not widely known how many tests there are, how they are used, and how they are paid for. Little evidence from large data sets about their use has emerged. We shed light on the issue of genetic testing by providing an overview of the testing landscape. We examined test availability and spending for the full spectrum of genetic tests, using unique data sources on test availability and commercial payer spending for privately insured populations, focusing particularly on tests measuring multiple genes in the period 2014-17. We found that there were approximately 75,000 genetic tests on the market, with about ten new tests entering the market daily. Prenatal tests accounted for the highest percentage of spending on genetic tests, and spending on hereditary cancer tests accounted for the second-highest. Our results provide insights for those interested in assessing genetic testing markets, test usage, and health policy implications, including current debates over the most appropriate regulatory and payer coverage mechanisms.

KEYWORDS:

Genetic Testing; Health Economics; Market

Comment in

PMID:
29733704
PMCID:
PMC5987210
DOI:
10.1377/hlthaff.2017.1427
[Indexed for MEDLINE]
Free PMC Article

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