Laboratory Stewardship

Laboratory stewardship (or traditionally utilization management) is the process of helping to ensure that the right patient is receiving the right test at the right time, at the right cost. Healthcare systems and third party payers spend a great deal of time and energy in this effort, amidst an increasingly complex world of genetic testing.

There are currently more than 75,000 genetic tests available in the U.S., and 10 are added every day.

Research has shown that as much as 30% of genetic tests that are ordered are inappropriate, and should be modified or canceled altogether. (ref 3, 4) These inappropriate test orders lead to delayed clinical care and waste millions of healthcare dollars, taking resources from the patients who need genetic testing the most.

Exploding Growth of Available Genetic Test in the U.S.

Genetic Tests Ordered

~30% Inappropriate

GeneTestAdvisor is Metis Genetics’ genetic testing laboratory stewardship service that provides expert genetic counselor review, to ensure:

  • Medical necessity

  • Optimal test selection

  • Cost-efficiency


  • Is customizable for healthcare systems and payers. Start big or small, learn your providers’ ordering patterns, and adjust as needed.

  • Offers expert support to your providers to educate them about optimal test selection.

  • Saves money, while prioritizing medical necessity and professional guidelines.

Contact us to learn more about how GeneTestAdvisor can assist you.


GeneTestAdvisor is proud to work with PLUGS® (Patient-centered Laboratory Utilization Guidance Services), a program of Seattle Children’s which helps laboratories reduce costs and errors associated with unnecessary genetic testing by providing resources, expert advice, and a valuable peer network for members to develop sustainable test stewardship programs.

References: 1-4.



  3. Miller CE Krautshceid P, Baldwin EE, Tvrdik, T, Openshaw AS, Hart K, Lagrave D. Genetic counselor review of genetic test orders in a reference laboratory reduces unnecessary testing. Am JMed Genet A. 2014; 164: 10094-1101

  4. Seattle Children's Hospital data collected September 2011 - September 2013


Genetic Counseling Services


Automation & Technology