Use Cases

Genetic Testing, Health Plans, Lab Providers

Genetic Testing

How Avalon modernizes genetic test management for health plans and labs with an evidence-based, end-to-end model.

Genetic Testing, Health Plans

Genetic Test & Utilization Management

How Avalon brings clarity, compliance, and cost control to one of the fastest-growing areas in diagnostics.

Health Plans

Network Strategy

How Avalon builds and manages high-performing lab networks to align pricing, quality, and policy coverage.

Health Plans

Payment Integrity

How Avalon’s lab-specific payment integrity rules identify improper claims and prevent waste in real time.

Health Plans

Personalized, Value-based Care

How Avalon uses lab data and predictive analytics to reduce costs, align resources, and support equitable care.

Health Plans, Routine Testing

Routine Test Management

How Avalon enforces evidence-based policies to reduce overuse, eliminate waste, and maintain provider alignment in routine testing.

Lab Providers

Gold Carding & Prior Authorization

How Avalon’s performance-based model reduces admin work and speeds approvals.

Lab Providers

Reimbursement Transparency

How Avalon’s single-contract model improves payment predictability and reduces administrative burden.

Lab Providers

Technology Evaluation & Credentialing

How Avalon’s evidence-based review process helps labs secure payer approval for new tests.

Cardiometabolic, Health Plans

Maximize the Value of GLP-1 Drugs

How Avalon modernizes genetic test management for health plans and labs with an evidence-based, end-to-end model.

Cardiometabolic, Health Plans

GLP-1 Investments

How Avalon improves GLP-1 impact by refining eligibility criteria, addressing cardiometabolic risk, and reducing waste from misaligned utilization.

Health Plans, Oncology

Oncology Drug Management

How Avalon integrates genetic testing with oncology drug management to improve treatment precision and reduce delays.

Health Plans, Oncology

Smarter Oncology Drug Management

How Avalon integrates genetic testing with oncology drug management to improve outcomes, reduce costs, and eliminate inefficiencies.