Highmark BCBS serves 5.2 million members in Pennsylvania, Delaware & West Virginia
IRVINE, CA, and HERSTAL, BELGIUM – October 6, 2016 – MDxHealth SA (Euronext: MDXH.BR) today announced that Highmark BCBS (Highmark) has issued a positive medical coverage policy decision for the ConfirmMDx® for Prostate Cancer test.
This positive coverage policy is in line with the positive medical policy recently implemented by Independence Blue Cross and represents the second Blue Cross Blue Shield Association (BCBSA) licensee to establish coverage for commercial and Medicare members for ConfirmMDx.
Highmark is a national, diversified health care partner based in Pittsburgh that serves members across the United States through businesses in health insurance, dental insurance, vision care and reinsurance. Highmark, and its affiliates, operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.2 million members. Highmark is among the largest health insurers in the United States and is the fourth largest Blue Cross and Blue Shield-affiliated company.
“Highmark Blue Cross Blue Shield’s positive policy decision adds to the momentum we are seeing in payer adoption of the ConfirmMDx for Prostate Cancer test,” stated Dr. Jan Groen, CEO of MDxHealth. “This decision further validates the impact ConfirmMDx has on patient outcomes and reduction in cost to the US healthcare system.”
ConfirmMDx for Prostate Cancer is the first epigenetic, and only tissue-based test in the 2016 NCCN Guidelines for early detection of prostate cancer which addresses false negative biopsy concerns. It is the only molecular diagnostic test that provides a very high negative predictive value (NPV) of 96% for clinically significant prostate cancers, and 90% NPV for all prostate cancers, as well as prostate mapping of the test results to help guide repeat biopsies. Each year, more than 1 million American men undergo an invasive prostate biopsy with a negative result, however approximately 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 for Prostate Cancer helps urologists identify low-risk men who may forego an unnecessary repeat biopsy and high-risk men who may benefit from intervention. To date more than 3,000 urologists have ordered ConfirmMDx on more than 45,000 patients. ConfirmMDx has qualified for Medicare reimbursement and covered by numerous private health insurance plans.
MDxHealth is a multinational healthcare company that provides actionable molecular diagnostic information to personalize the diagnosis and treatment of cancer. The company’s tests are based on proprietary gene methylation (epigenetic) and other molecular technologies and assist physicians with the diagnosis of cancer, prognosis of recurrence risk, and prediction of response to a specific therapy. For more information, visit mdxhealth.com and follow us on Twitter at: twitter.com/mdxhealth.
| For more information:
Dr. Jan Groen, CEO
US: +1 949 812 6979
BE: +32 4 364 20 70
Jonathan Birt, Chris Welsh, Hendrik Thys (PR & IR)
Consilium Strategic Communications
UK: +44 20 3709 5701
US: +1 917 322 2571 (Rx Communications Group LLC)
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