There is no personalized medicine without a diagnostic test to help in the process. The Promise of Personalized Medicine is a podcast that explores the process of creating more personalized medicine and the Medical Directors who ensure that the right care is being delivered to us all. Season 1 will focus on understanding best practices by using the Blueprint of Success format as a template for labs to use when trying to get their novel diagnostic test approved by health plans. This is The Pr ...
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From Appeals to Adoption: Accelerating Change in Personalized Medicine Reimbursement
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The fight for reimbursement often feels like navigating a maze. From lengthy appeals to prior authorizations, labs and healthcare providers must balance innovation with complex payer policies. But what if this process could be less adversarial, more collaborative, and streamlined with the help of cutting-edge technology? Our guest today is Tom Cron…
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From Biomarkers to Breakthroughs: The Evolution of Precision Medicine
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In personalized medicine, where data, technology, and patient care converge, success depends on embracing change and collaboration. As our guest puts it, 'At the end of the day, it's all about patient care. So if we have to make some changes in order to make a positive change for them, let's do that.' Today’s guest is Rennie Quarles, Sr. Director B…
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Advances in Personalized Medicine: From Paradigm Shifts to AI Integration
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Picture this: You walk into a doctor's office, and instead of a one-size-fits-all prescription, you're handed a treatment plan designed specifically for your genetic makeup. This isn't science fiction; it's the groundbreaking promise of personalized medicine, where cutting-edge technology meets the intricacies of human biology to provide precise an…
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The Impact of Precision Medicine on Modern Healthcare: A Discussion with Dr. Sandy Milligan
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Personalized medicine still has so much potential. With the need for greater adoption and further advancement becoming more apparent, this conversation is necessary. Today's guest is Dr. Sandy Milligan, the President of Research & Development, Laboratory Operations, IT and HR at Aspira Women’s Health. Dr. Milligan explains the nuances of personaliz…
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The Role of Communication in Precision Medicine: Insights from Dr. Wren Gregory
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Clinical research plays a critical role in advancing medical treatments. Today's guest is Dr. Wren Gregory, the Director of Laboratory Operations and Clinical Research at Precision Genetics. Join us as Dr. Wren describes her responsibilities in overseeing lab documentation, compliance, and team mentorship, ensuring smooth operations at Precision Ge…
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A Decade of Strides in Personalized Medicine and Digital Health
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Progress and transformation–are two words we definitely want to be associated with our US Healthcare. Today’s guest, Beth Davis, addresses the significant strides made in digital healthcare and smart technologies, ranging from wearable devices to implantable devices that monitor vital signs and manage chronic conditions like diabetes. She emphasize…
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Season’s Tidings: Promise of Personalized Medicine 2023 Wrap Up
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The tables are turned on our regular host, Perry Dimas, and this week–he becomes the guest! Our Producer, Angela, takes the hosting seat and asks Perry all those questions you’ve been wanting to know. Questions like: What are YOUR thoughts on Personalized Medicine? What has made Season 2 special, so far? What is the newest piece of information that…
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Unraveling the Human Genome: From DNA to Personalized Health
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Our DNA holds the keys to understanding our health and well-being. Our guest today is Jill Davies, CEO at Genome Medical. She emphasizes the crucial role of genetic counselors in deciphering complex genetic information for individuals, offering tailored guidance on healthcare decisions. Jill introduces the concept of genetic counseling assistants, …
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Deciphering the Code: Navigating the Complex World of Genetic Test Coding
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Coding in the world of medical tests and personalized medicine may not be the most scintillating topic, but it's a critical puzzle piece that can make or break the seamless delivery of healthcare services. Our guest today is Dr. James Almas, the National Medical Director for Clinical Effectiveness at Labcorp, who provides an in-depth exploration of…
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Transforming Healthcare: The Power of Next-Generation Diagnostics in Personalized Medicine
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The goal of personalized medicine is to pinpoint the most effective treatments and reduce the morbidity and toxicity associated with unnecessary therapies. One of the major challenges in the field is securing reimbursement for personalized medicine services. While Medicare often leads the way in adopting new approaches, other payers vary in their c…
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The Payor's Dilemma: Navigating Personalized Medicine's Evolutions w/ Suzanne Belinson
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While the healthcare industry innovates at an often unprecedented rate, payors grapple with the complexities of implementation and sustainability. From the payors vantage point, there is both excitement and trepidation surrounding personalized medicine’s rapid evolution. Today’s guest, Suzanne Belinson emphasizes the critical role of diagnostics co…
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Test Innovations in Personalized Medicine: Overcoming Challenges and Embracing Change
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Using genomics or other biomarkers to improve health care is the essence of Personalized Medicine according to today’s guest, Dr. Bruce Quinn. Moving forward with novel diagnostic testing could prove challenging for a variety of reasons, one of them being a disruption to the overall healthcare industry. If one test could replace multiple, costly te…
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Moving Forward with a Proactive Medicine Model w/ Donna Edmonds
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Having a baseline understanding of each of our individual health needs should be a no-brainer. Yet, America is still mainly practicing a responsive-based medical model vs. a proactive approach. Today’s guest, Donna Edmonds, says: “We should learn how to manage health, and focus on wellness and prevention.” She is the CEO of BRAINBox Solutions Inc. …
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Health Plans and the Adoption of Personalized Medicine
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Why aren't Americans benefiting from customized treatment plans utilizing their specific genome types and targeting the unique needs of the problem? Advanced tests are out there but not enough patients are even getting tested, let alone, having the option of the correct tests! Matt Brane helps break down some of the main reasons preventing these ki…
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Economically Improving the Collaboration Between Payers and Providers w/ Dr. Kenneth Schaecher
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Who owns the fiduciary responsibility between insurance and physicians? Could the answer include both? This episode includes a fantastic conversation about the perspective of larger economics within these roles. Today’s guest is Dr. Kenneth Schaecher, the Interim Chief Medical Officer at the University of Utah Health Plan. Not only does he break do…
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Establishing Relationships Between Employers and Payors w/ Dr. Phillip Smith
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There are guidelines that will naturally protect with the patient, employer and payor. It is also beneficial as an employer to establish a helpful relationship with their payor in order to meet the specific needs of their employees. Dr. Phillip Smith, Regional Medical Director at Oscar Health, takes a deep dive into the benefits of this type of car…
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Physician and Consumer Education w/ Dr. Linda Britton
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What will it take for there to be price transparency for preventative medicine? The No Surprise Bill is a start! There is also the need for consumers to understand their options and for physicians to stay current on the latest technology. This is easier said than done. Today's guest is Dr. Linda Britton, Senior Medical Director, Southeast Region at…
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The Prioritization of Clinical Guidelines & Price Transparency w/ Dr. Carmen Alfonso
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Ultimately, we want the world to be a better place. Precision Medicine can help with this long-term goal and the labs that are looking to study, test, and prove this kind of work could have incredible opportunities to show up prepared. Continuing our interview with Dr. Carmen Alfonso, who is the Senior Medical Director of Blue Cross Blue Shield Adv…
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Disrupting Healthcare with Genomic Mapping w/ Dr. Carmen Alfonso
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Clearly defining the cost structures so that Doctors, Insurance Companies, and patients feel empowered to use personalized medicine to their advantage is what today’s guest believes is one of the best next steps we can take in healthcare. In this Part 1 of 2 interviews, we are joined by Dr. Carmen Alfonso, who is the Senior Medical Director of Blue…
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Clinical Utility and Personalized Medicine w/ Dr. Charles Stemple
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With the explosion of popularity with personalized medicine in the last decade, the need for clearly defined clinical utility is ever growing. It’s not enough to have the proof that a test works–but what treatment can Doctors and patients then take with those results? This question is explored with today's guest, Dr. Charles Stemple, former Humana …
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Clinical Utility Evidence w/ Dr. Virginia Calega
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Within novel diagnostics tests, needing clinical utility evidence cannot be understated. And the more evidence accumulated over years, the better. But why? Today’s guest is Dr. Virginia Calega, the President of VCC Healthcare Solutions, and she makes a highly compelling argument that, if payors are going to accept a new novel diagnostic test, and d…
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