for payers & health systems

Objective coverage evidence for high-cost, high-variability treatment decisions.

cResponse™ tests a patient's own tumor against the treatment options under consideration, before you commit to covering one, so coverage decisions are grounded in how this patient's tumor responds, not only in a population average.

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The problem: high cost meets low odds

Modern oncology drugs are among the most expensive treatments a plan covers, and the newest classes, biologics, antibody-drug conjugates and immuno-oncology therapies, carry the largest commitments of all. Yet for most of these classes, fewer than half of treated patients respond: objective response rates sit below 50%, and often well below it.

Together, those two facts define the problem: a large share of a plan's most expensive spend goes to treatments that do not work for the patient who receives them, and that failure is not cost-neutral. It wastes budget on a drug that delivers no benefit, harms the patient with full toxicity and avoidable adverse-event costs, and moves the patient sooner to later lines that are typically more expensive and lower-yield.

Improving all three at once requires precision: knowing, before treatment starts, which of the options under consideration this tumor will actually respond to.

Waste avoidance
Testing identifies, before treatment starts, which patients have no viable option among those under consideration, avoiding payment for cycles unlikely to work.

Futile cycles avoided

A patient tested against the options being considered and found not to respond to any of them is identified before the first dose, not after a full cycle of ineffective, costly treatment.

Cascade reduction

Avoiding one ineffective line often avoids the downstream cascade it would have triggered, additional lines, hospitalizations, and supportive care that follow a failed treatment.

A recognized precedent

This is the same economic logic that made genomic companion diagnostics standard coverage, testing before treatment to avoid paying for drugs unlikely to help this patient.

Where the spend goes, with and without testing
In a published post-market analysis of 278 patients (Bar et al., J. Pers. Med. 2026), each patient's intended first-choice treatment was compared against the other options tested on the same tissue.
278 patients · intended first choice vs. the other options tested
~25%
First choice confirmed

Spend proceeds on a treatment with a tested result behind it, or moves to an equally effective option chosen on tolerability or cost.

~75%
First choice below the response threshold: not expected to be effective
~80%of these
Redirected to an effective option

A tested-effective alternative among the options under consideration. Spend moves to a therapy that works, before an ineffective line is paid for.

~20%of these
No option likely to work

Known before treatment starts: futile, toxic cycles are not paid for, and the patient is directed to clinical trials or timely supportive and palliative care.

Clinical outcome follow-up within this study re-confirmed the test's 90%+ PPV and NPV in routine practice.

Cost per responder

Cost per responder, total spend on a treatment divided by the number of patients who actually benefit from it, is a standard health-economics metric in oncology, and the same logic that justified genomic companion diagnostic coverage. Functional testing concentrates spend on patients who will actually respond, improving cost per responder without changing the price of any single drug.

Illustrative pattern

In published genomic-testing precedents, cost per responder for a targeted therapy has been shown to fall several-fold once treatment is directed only at patients confirmed likely to respond, versus treating an unselected population. Functional testing extends this logic beyond genomic markers to actual tumor response.

Open to new reimbursement models

List price isn't the only lever. We're open to structuring coverage around outcomes rather than list price alone, including risk-sharing and outcomes-based arrangements where CURESPONSE shares in the economic case it helps create.

What that looks like depends on your plan's population, indications in scope, and existing value-based contracting infrastructure. Talk to our payer economics team about what could work for your plan.

Evidence
ISO 15189:2022

CE marked,
ISO 15189:2022 Medical Laboratories

90%+ Accuracy

Prediction accuracy, PPV & NPV
against clinical outcomes

All Solid Tumors

Applicable to
all solid tumors

All Therapy Classes

Applicable to all therapy
classes and combinations

See the full publication list on the Evidence page →

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Brochure

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A printable overview of the coverage case for cResponse™.

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