Anderson: Private healthcare payers follow CMS before agreeing to diagnostic coverage
Jenna Anderson · Revolutionizing Preventive Health: Early Disease Detection and Metabolic Diagnostics with KiHealth · Jul 23, 2025 · at 27:40
Jenna Anderson is the CEO of KiHealth. She explains the reimbursement workflow between CMS and commercial insurers for novel diagnostic tests.
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“What most people don't realize is private payers follow CMS. So you pretty much have to go to CMS first. They have to say, yes, you're legitimate. Yes, we want to work with you. Yes, we want to cover you. And the private payers go, okay, well, they did all the heavy lifting. Now we'll say yes, but we'll give you a haircut.”
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