This alliance extends the value of HealthHelp’s specialty benefits program portfolio with the addition of Genetic Testing Utilization Management (GTUM) through the integration of InformedDNA’s proven genomics expertise and content
The HealthHelp specialty benefits management solution that uses evidence-based guidelines to directly help healthcare providers facilitate the most appropriate care for health plan members. HealthHelp’s collaborative approach combines a patented technology platform and advanced data analytics to drive highly reliable automated decision making where appropriate. HealthHelp pairs the advanced decision platform with panels of academically affiliated specialists where clinical expertise is needed to ensure that every patient has access to the latest science and the most up-to-date form of care.
With nearly 10 years of GTUM expertise, over 1 million genetic testing prior authorization cases reviewed, industry-leading evidence-based guidelines and up-to-date clinical criteria, InformedDNA perfectly complements and augments HealthHelp’s existing specialty benefits management and care management programs.
“HealthHelp was founded under the guiding principles of improving outcomes and clinical quality through evidence-based medicine,” said Shea Helmle, CEO, HealthHelp. “The exponential growth in genetic tests is creating numerous challenges for health plans,” said Surya Singh, MD, CEO of InformedDNA. “Our deep genomics expertise and specialty-specific knowledge infused into HealthHelp’s specialty management solution gives health plans sophisticated GTUM to meet the complex demands of this highly specialized area.”
The strategic partnership expands HealthHelp’s portfolio of benefits management programs to introduce standalone GTUM and enhance the spectrum of services managed under existing Cardiology and Oncology programs. Health plans now have the tools needed to reduce overuse of services resulting in unnecessary costs, offload the risk of managing complex medical policies in-house, generate medical cost savings through medical necessity assessment, and build standards of care by educating providers on evidence-based clinical criteria.
Learn more about HealthHelp’s new Genetic Testing Utilization Management Program: