Transformational Pathway to US Payer System; Attributing US$1.4 Billion Health and Economic Benefit from geneType Breast Cancer Risk Assessment Test
16 Juin 2022 - 2:00PM
Genetic Technologies Limited (ASX: GTG; NASDAQ: GENE, “Company”,
“GENE”), a global leader in genomics-based tests in health,
wellness and serious disease is delighted to announce the
completion of an independently developed and validated customizable
Budget Impact Model (BIM), which demonstrates significant health
and economic benefits directly attributed to the implementation of
geneType Breast Cancer Risk Assessment Test.
Breast cancer risk stratification based on BRCA
and other hereditary and familial factors is applicable to only 10%
of women, with the consequence being that 85% of breast cancers are
diagnosed as sporadic, with no prior warning to the patient. There
is an urgent clinical and economic need for an all-inclusive risk
stratification tool to enable all women being screened to
understand their risk for breast cancer in the near and
mid-term.
In women diagnosed with breast cancer, only 15%
are high risk identified by BRCA, hereditary, or familial factors.
The remaining 85% are sporadic with uncertain risk, and thus an
urgent clinical and economic need for a comprehensive risk
stratification tool that will enable all women being screened to
understand their risk for breast cancer and undergo appropriate
management.
Key Benefits attributed to the geneType
Breast Cancer Risk Assessment Test:
- Potential to
deliver US $1.4 billion annual saving1 represents 3.6% of the total
annual US Payer costs for breast cancer treatment
- Significant
savings of US$73 per patient per year
- An overall
increase in women being health screened, from 69% to 74%
- Early-stage
cancer detection (I-IIA) would be increased from 57% to 67%
- Interval cancers
drop from 14.8% to 8.8%, a substantial 40.5% reduction
The BIM was independently developed and
validated by ALVA10, whose mission is to create an economic
ecosystem that pulls technology into healthcare, aligning effective
healthcare solutions to Payer economics. The BIM illustrates the
clinical pathways patients would experience and the economic
implications of commercialization and utilization of a test or
device. The main finding of the BIM is the potential for US Payers
to reduce the annual costs of breast cancer treatment by US$1.4
billion.
US Payers, including commercial insurers, large
employers, and benefit groups such as Medicare, are typically
reluctant to cover new diagnostic tools, with reimbursement often
taking years to receive. Critically, GENE’s customizable BIM
enables US Payers to accelerate their understanding of the economic
impact of implementing GENE’s geneType Breast Cancer Risk
Assessment Test prior to commercialization – providing a faster and
more certain outcome and minimizing their technology adoption risk.
GENE’s BIM is a comprehensive and dynamic tool and can be
customized for any US Payer. Importantly it will also enable GENE
to identify those US Payers who are most likely to be fast
adopters.
GENE’s CEO Simon Morriss noted “The completion
of this work is a critical step towards obtaining reimbursement for
geneType Breast Cancer Risk Assessment Test in the world’s largest
healthcare market. It will advance discussions with major US Payers
supporting the implementation of our test as a ‘standard of care’.
It is a transformational step for GENE, obtaining coverage and
reimbursement and will accelerate the adoption and
commercialization of our breast cancer risk assessment test,
effectively providing a pathway for the reimbursement of GENE’s
other risk assessment tests such as colorectal cancer.”
ALVA10’s CEO and Founder Hannah Mamuszka
commented “Our approach at ALVA10 has been to fundamentally change
how US Payers view and value diagnostics, by enabling payers to
understand the cost-saving opportunities inherent in implementing
diagnostics with high clinical utility, and engaging them to
confirm that clinical utility ahead of commercialisation, providing
a more certain reimbursement outcome in much shorter timeframes. We
believe the BIM we have built for GENE demonstrates significant
health economic benefits and that there is a large clinical need
for a risk stratification tool to identify women at elevated risk
for breast cancer that is absent in the market today. In the next
phase commencing this month, we will be working with GENE to
facilitate market access to the geneType Breast Cancer Risk
Assessment Test throughout our extensive network of US Payers”.
GENE and ALVA10 have established a US Payer
engagement strategy with US-based global health service companies
that manage, in some cases up to 22 million covered lives in the US
and have over 180 million customer and patient relationships
globally.
1 Corporates and Insurance market entry
assessment - Health Economic Model completed by ALVA10 May 2022
Enquiries
Investor RelationsJustin
FoordMarket EyeM: +61 402 600 691E:
justin.foord@marketeye.com.au
About Genetic Technologies
Limited Genetic Technologies Limited (ASX: GTG; Nasdaq:
GENE) is a diversified molecular diagnostics company. A global
leader in genomics-based tests in health, wellness and serious
disease through its geneType and EasyDNA brands. GENE offers cancer
predictive testing and assessment tools to help physicians to
improve health outcomes for people around the world. The company’s
Polygenic Risk Scores (PRS) platform is a proprietary risk
stratification platform developed over the past decade integrating
clinical and genetic risk delivering actionable outcomes from
physicians and individuals. Leading the world in risk prediction in
Oncology, Cardiovascular and Metabolic diseases. Genetic
Technologies continues to develop a pipeline of risk assessment
products. For more information, please visit www.genetype.com
About ALVA10
ALVA10’s mission is to create an economic ecosystem to pull
technology into healthcare, to align incentives and optimize for
patient outcomes and payer economics. A business model that works
with payers and employers to identify areas of inefficient spend,
and then partners with diagnostic companies to either cover
existing tests or develop and bring to the market the tools to
solve the greatest challenge for both parties. Unleashing the
innovation that lies within the knowledge gap between payers and
diagnostic companies. These innovations are critical to realizing
the promise of Precision Medicine. For more information, please
visit https://alva10dx.com/
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