Covered Lives Now Total Approximately 100 Million
Boston, MA – February 23, 2018 - Exosome Diagnostics, Inc. summarized the impact of a series of recent announcements about contracts to provide laboratory services and ExoDx® Prostate(IntelliScore) (EPI) testing to three major Preferred Provider Organizations in the United States. The PPOs include Three Rivers Provider Network, FedMed, Inc. and America’s Choice Provider Network. Together these networks provide access to 82 million members across the United States.
"Executing these agreements clearly demonstrates the clinical value of our EPI test, our patented technology platform and our CLIA and ISO certified laboratory for developing and launching diagnostic tests for cancer and other diseases," said John Boyce, CEO and President of Exosome Diagnostics. "We are gratified by the growing acceptance of the value our EPI test offers for patient care by health plans and clinicians. We look forward to providing EPI to their network participants and to announcing additional coverage decisions in the first quarter."
PPOs are an important way millions of Americans get access to high quality and affordable care. The basis for pricing under PPO agreements has been a challenge for many companies. EPI has been priced on Medicare’s Clinical Lab Fee Schedule for 2018 and that provides a sound basis for pricing and coverage of our test within PPO networks. Together these plans have contracts with over 1,400 payers and 550,000 healthcare providers in the US.
"Combining this announcement with the coverage decision announced by a major private payer on January 8th, EPI is well positioned for broad coverage in the US in 2018. The expansion of insurance coverage for EPI testing is a major focus for Exosome Diagnostics this year,” Boyce concluded.