Laboratory business models and practices: implications for availability and access to germline genetic testing.

ABSTRACT:

Purpose

Germline testing laboratories have evolved over several decades. We describe laboratory business models and practices and explore their implications on germline testing availability and access.

Methods

We conducted semistructured interviews with key informants using purposive sampling. We interviewed 13 key informants representing 14 laboratories. We used triangulation and iterative data analysis to identify topics concerning laboratory business models and practices.

Results

We characterized laboratories as full-service (FSL), for-profit germline (PGL), and not-for-profit germline (NGL). Relying on existing payer contracts is a key characteristic of the FSL business models. FSLs focus on high-volume germline tests with evidence of clinical utility that have re

SUBMITTER: Scheuner MT 

PROVIDER: S-EPMC8460432 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature