Delivering Quality Care: Breast Cancer Screening

Oct. 01, 2021

To support quality care, we are providing information to providers and members to encourage discussions on health topics. Watch for more on health care quality in News and Updates.

Breast cancer is the second leading cause of death among women in the U.S., according to the Centers for Disease Control and Prevention (CDC) Learn more about third-party links. About 1 in 8 women Learn more about third-party links will get breast cancer at some point in her life. We encourage providers to talk with our members about the importance of regular screenings for women. We’ve created some resources that may help. Screening is the best way to find breast cancer early, when it’s easier to treat, and may help reduce the risk of death.

Closing Care Gaps

The U.S. Preventive Services Task Force Learn more about third-party links recommends that women ages 50 to 74 be screened for breast cancer every two years. You may want to discuss with members the risks and benefits of starting screening mammograms before age 50.

Breast cancer screening Learn more about third-party links is also a Healthcare Effectiveness Data and Information Set (HEDIS®) measure from the National Committee for Quality Assurance (NCQA). The measure tracks women ages 50 to 74 who had at least one mammogram in the past two years.

See our preventive care guidelines on breast cancer screening.

Tips to Consider

The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their member contract or member guide for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.

HEDIS is a registered trademark of NCQA.

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