Impacts of genesurance considerations on genetic counselors' practice and attitudes.
billing issues
genesurance
genetic counseling
genetic counselor workflow
genetic testing
insurance issues
Journal
Journal of genetic counseling
ISSN: 1573-3599
Titre abrégé: J Genet Couns
Pays: United States
ID NLM: 9206865
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
23
05
2019
revised:
22
04
2020
accepted:
27
04
2020
pubmed:
21
5
2020
medline:
15
4
2021
entrez:
21
5
2020
Statut:
ppublish
Résumé
Genesurance counseling has been identified as an integral part of many genetic counseling sessions, but little is known about the workflow impacts and genetic counselor perceptions of genesurance-related tasks. In this study, we aimed to characterize how insurance and billing considerations for genetic testing are being incorporated into genetic counselors' practice in the United States, as well as describe current attitudes and challenges associated with their integration. An electronic survey was sent by email to members of the National Society of Genetic Counselors (NSGC). A total of 325 American Board of Genetic Counselors-certified genetic counselors who provide direct patient care in the United States for at least 50% of their time were included in data analysis. Results showed that the frequency and timing of various insurance- and billing-related tasks were not consistent among respondents, even those practicing in similar settings. Inadequate training to complete tasks was reported by 64% of respondents, and 47% reported a lack of resources from their employer and/or institution to complete genesurance tasks. Additionally, only 38% of respondents agreed that insurance- and billing-related tasks were within the scope of the genetic counseling practice, and there was little consensus on who respondents believe is the most appropriate person to complete these tasks. When asked how genesurance considerations affected job satisfaction, 85% of respondents reported a negative impact. This study found an inconsistent genesurance workflow among genetic counselors practicing in the United States, a lack of consensus on who should be responsible for genesurance tasks, several challenges associated with completing these tasks, and identifies genesurance considerations as potential risk factors for genetic counselor burnout.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1210-1220Informations de copyright
© 2020 National Society of Genetic Counselors.
Références
Accreditation Council for Genetic Counseling. (2015). Practice-based competencies for genetic counselors. Retrieved from https://www.gceducation.org/wp-content/uploads/2019/02/ACGC-Core-Competencies-Brochure_15_Web.pdf
Attard, C., Carmany, E., & Trepanier, A. (2018). Genetic counselor workflow study: The times are they a-changin’?Journal of Genetic Counseling, 28(1), 130-140. https://doi.org/10.1002/jgc4.1041
Bengtsson, M. (2016). How to plan and perform a qualitative study using content analysis. NursingPlus Open, 2, 8-14. https://doi.org/10.1016/j.npls.2016.01.001
Brown, S., Puumala, S., Leonhard, J., Bell, M., Flanagan, J., Dean, L. W., & Stein, Q. (2017). Genesurance counseling: Genetic counselors' roles and responsibilities in regards to genetic insurance and financial topics. Journal of Genetic Counseling, 27(4), 800-813. https://doi.org/10.1007/s10897-017-0180-x
Hayden, S., Mange, S., Duquette, D., Petrucelli, N., & Raymond, V. M. (2017). Large, prospective analysis of the reasons patients do not pursue BRCA genetic testing following genetic counseling. Journal of Genetic Counseling, 26(4), 859-865. https://doi.org/10.1007/s10897-016-0064-5
Hooker, G. W., Clemens, K. R., Quillin, J., Vogel Postula, K. J., Summerour, P., Nagy, R., & Buchanan, A. H. (2017). Cancer genetic counseling and testing in an era of rapid change. Journal of Genetic Counseling, 26(6), 1244-1253. https://doi.org/10.1007/s10897-017-0099-2
Johnstone, B., Kaiser, A., Injeyan, M., Sappleton, K., Chitayat, D., Stephens, D., & Shuman, C. (2016). The relationship between burnout and occupational stress in genetic counselors. Journal of Genetic Counseling, 25(4), 731-741. https://doi.org/10.1007/s10897-016-9968-3
Kotzer, K. E., Riley, J. D., Conta, J. H., Anderson, C. M., Schahl, K. A., & Goodenberger, M. L. (2014). Genetic testing utilization and the role of the laboratory genetic counselor. Clinica Chimica Acta, 427, 193-195. https://doi.org/10.1016/j.cca.2013.09.033
Kutscher, E. J., Joshi, S. M., Patel, A. D., Hafeez, B., & Grinspan, Z. M. (2017). Barriers to genetic testing for pediatric medicaid beneficiaries with epilepsy. Pediatric Neurology, 73, 28-35. https://doi.org/10.1016/j.pediatrneurol.2017.04.014
Lu, C., Loomer, S., Ceccarelli, R., Mazor, K., Sabin, J., Clayton, E., … Wu, A. (2018). Insurance coverage policies for pharmacogenomic and multi-gene testing for cancer. Journal of Personalized Medicine, 8(2), 19. https://doi.org/10.3390/jpm8020019
National Society of Genetic Counselors. (2018a). Professional status survey. Retrieved from https://www.nsgc.org/p/do/sd/topic=680&sid=7524
National Society of Genetic Counselors. (2018b). NSGC 2019-2021 strategic plan. Retrieved from https://www.nsgc.org/p/do/sd/topic=124&sid=8164
Prince, A. E. R. (2015). Prevention for those who can pay: Insurance reimbursement of genetic-based preventive interventions in the liminal state between health and disease. Journal of Law and the Biosciences, 2(2), 365-395. https://doi.org/10.1093/jlb/lsv008
Riggs, K. R., & Ubel, P. A. (2014). Overcoming barriers to discussing out-of-pocket costs with patients. Journal of the American Medical Association Internal Medicine, 174(6), 849-850. https://doi.org/10.1001/jamainternmed.2014.853
Uhlmann, W. R., Schwalm, K., & Raymond, V. M. (2017). Development of a streamlined work flow for handling patients' genetic testing insurance authorizations. Journal of Genetic Counseling, 26(4), 657-668. https://doi.org/10.1007/s10897-017-0098-3
Wagner, C., Murphy, L., Harkenrider, J., Darilek, S., Soto-Torres, E., Stein, Q., & Hoskovec, J. (2018). Genesurance counseling: Patient perspectives. Journal of Genetic Counseling, 27(4), 814-822. https://doi.org/10.1007/s10897-018-0211