Press release
Illumina and Harvard Pilgrim Health Care Real-World Evidence Study Demonstrates Cost-Effectiveness of Offering NIPT to All Pregnant Women
SAN DIEGO--(BUSINESS WIRE)-- Illumina, Inc. (NASDAQ: ILMN), along with researchers at the University of Colorado and Harvard Pilgrim Health Care (HPHC),
About this update from Illumina, Inc.
[{"type":"text","content":" SAN DIEGO--(BUSINESS WIRE)--\nIllumina, Inc. (NASDAQ: ILMN), along with researchers at the University of Colorado and Harvard Pilgrim Health Care (HPHC), reported study results evaluating the impact of an innovative risk-sharing agreement that opened insurance coverage of non-invasive prenatal testing (NIPT) for pregnant women under the age of 35. Through this partnership, thousands of women gained access to NIPT and the economic impact was minimal. The study showed expanding NIPT services only increased HPHC’s costs by less than 3 cents per member per month. The study was published on March 11 in the open access journal PharmacoEconomics.\n\n“Our findings show that expanding NIPT coverage to women under 35 increased NIPT use and modestly increased prenatal screening costs,” said R. Brett McQueen, PhD, associate professor at the University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences and corresponding author on the paper. “This increased use suggests patients and physicians may prefer a more accurate screening method.”\n\nStill, no public data existed for what happens when coverage is opened up to younger women. Illumina and HPHC, which covers around 3 million people in the Northeastern United States, entered into a first-of-its-kind agreement in 2018 to open NIPT coverage for all pregnant, single gestation women under 35.\n\nThe results of risk-sharing agreements involving commercial companies are not always made public, and this study aimed to address that lack of transparency. Illumina and HPHC engaged a third-party academic collaborator to develop a study protocol, complete the analyses, and lead the publication development. The PharmacoEconomics article is the first-ever published manuscript on a value-based agreement between a bio/medical technology company and a payer.\n\n“As the clinical utility of NIPT is undeniable, we’ve focused on publishing real-world evidence assessing the economic implications,” said Ammar Qadan, Vice President and Global Head of Market Access at Illumina. “This study, and other efforts, highlight how payers can provide NIPT access to all pregnant women and produce better outcomes at about the same cost.”\n\nIn August 2020, the American College of Obstetricians and Gynecologists (ACOG) updated their clinical practice guidelines, recommending NIPT for all pregnant women, regar...