MDxHealth Contracts with Priority Health
OREANDA-NEWS. MDxHealth SA (Euronext: MDXH.BR), announced that it has contracted with Priority Health, a Michigan-based health plan with nearly 720,000 members, for coverage of ConfirmMDx® for Prostate Cancer testing for its Commercial and Medicare Advantage members.
"We are very pleased to announce expanded coverage of ConfirmMDx for Michigan residents through our agreement with Priority Health," stated Dr. Jan Groen, CEO of MDxHealth. "With the recent inclusion of ConfirmMDx in the NCCN Clinical Guidelines, we are gaining more momentum with commercial payors. Our coverage for ConfirmMDx continues to grow, and the test is now covered by policies serving more than 50 percent of U.S. at-risk males between the age of 50 and 74."
About Priority Health
Priority Health is an award-winning, Michigan-based non-profit health plan nationally recognized for improving the health and lives of the people it serves. It continues to lead the industry in engaging members in their health, delivering effective health and disease management programs and working with physicians to improve health care outcomes and performance. Priority Health is one of only 20 health plans nationwide offering wellness programs accredited by the National Committee for Quality Assurance, an organization which also rated it among the best health plans in the nation. The State of Michigan named the Priority Health HMO the benchmark plan for all individual and group HMO plans to model.
Priority Health offers a broad portfolio of health benefit options for employer groups and individuals, including Medicare and Medicaid plans. Its network of health care providers features 95 percent of practicing physicians available in Michigan and more than 900,000 health care providers nationwide.
About ConfirmMDx® for Prostate Cancer
ConfirmMDx for Prostate Cancer is recommended in the 2016 NCCN Guidelines for Early Detection of Prostate Cancer for the management of men with a negative biopsy result. Each year, more than 1 million American men undergo a prostate biopsy with a negative result, however ~30% of those men actually have prostate cancer. The current standard of care for prostate biopsy procedures samples less than 1% of the prostate, leaving men at risk for undetected cancer and leading to a high rate of repeat biopsies, even on cancer-free men. ConfirmMDx helps urologists identify men who may forego an unnecessary repeat biopsy and also distinguish high-risk men who may benefit from intervention. When ConfirmMDx is negative, the test provides a very high negative predictive value (NPV) of 96% for clinically significant prostate cancer, and 90% NPV for all prostate cancer. When the test is positive, the results indicate the likelihood of detecting aggressive, potentially lethal prostate cancer upon biopsy as well as prostate map to help guide repeat biopsies. To date, ConfirmMDx testing has been ordered by nearly 3,000 urologists and performed on over 45,000 patients. The test has qualified for Medicare reimbursement and is also available to more than 152 million insured lives via private health insurance plans.
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