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Re: biomaven0 post# 195865

Sunday, 10/11/2015 3:25:41 PM

Sunday, October 11, 2015 3:25:41 PM

Post# of 257442

EXAS—If they were smart they would figure out some way to cap the out-of-pocket costs—better to make a sale (even at breakeven or a small loss) than lose it altogether.

EXAS’ CEO recently stated that, as a matter of policy, EXAS will not sell Cologuard to any US private-insurance plan for less then the Medicare price, which is approximately $500 (#msg-109559217). This statement came before the USPSTF surprise, however, so the Cologuard pricing policy may be under review.

EXAS will sell Cologuard to self-pay patients for $50 up-front and bill them for the balance if (private) reimbursement is not obtained. Most such patients don't pay the residual amount.

“The efficient-market hypothesis may be
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