What Payors Need to Know About At-Home Health Testing

Health Plans

What Payors Need to Know About At-Home Health Testing

Ash Team

Many health plans and providers seek to provide patient-centered care through innovative solutions aimed at empowering patients to take charge of their health from the comfort of their homes. At-home health testing, also known as at-home diagnostic testing, has emerged as a pivotal component of this transformation, offering convenience, accessibility, and personalized insights to patients. For payors, understanding the implications and benefits of at-home health testing is vital in crafting comprehensive healthcare strategies that prioritize patient satisfaction and optimize resource allocation.

How At-Home Health Testing Works

At-home health testing revolutionizes healthcare delivery by allowing patients to collect various samples such as blood, urine, or stool in the comfort of their homes and send them to laboratories for analysis. This innovative approach addresses common barriers to healthcare access, including transportation challenges, work commitments, and childcare obligations, particularly benefiting remote and vulnerable populations. By enhancing convenience, privacy, and trust in healthcare, at-home health testing ultimately improves health outcomes and reduces disparities in access to medical services.

Closing Care Gaps with At-Home Health Testing

Gaps in healthcare delivery, where patient care falls short of recommended standards, present significant challenges in achieving optimal health outcomes and experiences. At-home health testing emerges as a transformative solution to address these gaps, offering a multifaceted approach to healthcare delivery:

  • Promoting Preventive Screenings: At-home testing facilitates regular screenings for various conditions, enhancing quality metrics like HEDIS and Medicare Star Ratings while improving member health outcomes.
  • Enabling Proactive Chronic Disease Management: Coupled with telehealth services, at-home testing allows for proactive management of chronic conditions, enabling timely interventions and specialist consultations, thus bridging care gaps and improving healthcare outcomes.

The Importance of Kit Return Rates for Payors

The effectiveness of at-home health testing hinges on a critical factor: the return of test kits for analysis. Low kit return rates present challenges for payors, as they incur the cost without reaping the benefits of diagnostic insights, potentially straining budgets and increasing healthcare costs. To address this challenge, a comprehensive approach involving education, engagement, and incentives is essential to motivate users to return their kits, thereby unlocking the full potential of at-home health testing to improve health outcomes and contain costs.

Read more about how payors can improve kit return rates. 

Boosting Quality Ratings with At-Home Health Testing

At-home health testing, particularly through innovative methods like dried blood spot card testing, offers payors a strategic pathway to elevate quality ratings such as HEDIS and Medicare Star Ratings:

  • Improving Medication Adherence: Timely completion of lab tests through at-home methods ensures uninterrupted medication consumption, positively impacting quality ratings.
  • Enhancing Preventive Screenings: At-home testing facilitates preventive screenings for conditions such as diabetes and colorectal cancer, aligning with quality measures and improving overall ratings.

Learn more about dried blood spot card testing to improve HEDIS and Star. 

Additional Benefits for Payors

Beyond quality ratings, at-home health testing offers payors a range of additional benefits:

  • Improved Patient Engagement: At-home testing empowers patients to actively participate in their healthcare, leading to better health outcomes and reduced costs in the long run.
  • Early Detection and Prevention: By enabling early detection of health issues, at-home testing facilitates preventive interventions that align with value-based care models and promote population health management.
  • Enhanced Data-Driven Decision Making: The data generated by at-home health testing provide valuable insights into patient health trends, allowing payors to identify population health needs, tailor interventions, and optimize resource allocation for more targeted and effective care delivery strategies.

Partnering with Ash Wellness for At-Home Health Testing Solutions

Ash Wellness is dedicated to supporting payors in harnessing the benefits of at-home health testing to enhance member care and drive improved outcomes. With a comprehensive at-home testing solution and a focus on data security, privacy, and seamless integration, Ash Wellness stands as the ideal partner for payors seeking to implement at-home health testing effectively.

Schedule a time to chat with Ash Wellness about at-home health testing for payors. 


The adoption of at-home health testing represents a transformative shift in healthcare delivery, offering payors unparalleled opportunities to improve patient satisfaction, enhance health outcomes, and contain costs. By leveraging at-home health testing to close care gaps, boost quality ratings, and empower patients to take control of their health, payors can position themselves at the forefront of patient-centered care and innovation in healthcare delivery.

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