{"id":328625,"date":"2025-10-10T15:00:05","date_gmt":"2025-10-10T19:00:05","guid":{"rendered":"https:\/\/www.oviahealth.com\/?p=328625"},"modified":"2025-10-16T10:22:29","modified_gmt":"2025-10-16T14:22:29","slug":"navigating-breast-cancer-screening-guidelines-what-organizations-should-know","status":"publish","type":"post","link":"https:\/\/www.oviahealth.com\/blog\/navigating-breast-cancer-screening-guidelines-what-organizations-should-know\/","title":{"rendered":"Navigating breast screening guidelines: What organizations should know"},"content":{"rendered":"\n<p>Breast cancer remains one of the most common cancers among women, yet many health plans struggle to ensure members receive timely, guideline-based screening. Conflicting recommendations from major organizations makes it challenging to provide clear, actionable support to members.\u00b9<\/p>\n\n\n\n<p>Individual risk factors\u2014such as family history, genetic mutations (e.g., BRCA1\/2), or dense breast tissue\u2014further complicate screening guidance.\u00b2<sup>,<\/sup>\u00b3 These complexities affect more than clinical decisions\u2014they directly influence member engagement, preventive care, and health outcomes.<\/p>\n\n\n\n<p>Organizations that navigate these nuances effectively may improve early detection, reduce disparities, and support better long-term outcomes.\u2074<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Screening challenges for health plans<\/strong><\/h2>\n\n\n\n<p>Health plans face multiple hurdles in supporting breast cancer screening:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Member education:<\/strong> Conflicting guidelines and individualized recommendations can confuse members about their risk and screening schedule.<\/li>\n\n\n\n<li><strong>Health disparities:<\/strong> Screening rates vary by race, age, income, and geography, resulting in unequal outcomes.<\/li>\n\n\n\n<li><strong>Competing priorities:<\/strong> Plans must balance cost management with performance metrics (HEDIS, STAR scores) while addressing population health goals.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How Ovia Health by Labcorp supports screening<\/strong><\/h2>\n\n\n\n<p>Ovia Health by Labcorp delivers targeted solutions to help improve breast cancer screening adherence:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Risk education: <\/strong>Ovia provides educational resources about risk factors such as family history and breast density, as well as information about lifestyle changes that may help reduce risk.<\/li>\n\n\n\n<li><strong>1:1 support: <\/strong>Health coaches help members understand risk factors and screening guidelines, support them as they make decisions with their healthcare providers, and provide touch points to encourage follow-through with screenings.<\/li>\n\n\n\n<li><strong>CareFinder: <\/strong>Advocates help members locate in-network women\u2019s health providers, simplifying access and reducing barriers.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What this means for your organization<\/strong><\/h2>\n\n\n\n<p>By combining personalized guidance, digital tools, and human support, Ovia helps health plans close screening gaps, improve adherence, and reduce costs associated with delayed diagnoses.<\/p>\n\n\n\n<p>Helping members complete screenings on time and addressing disparities strengthens engagement, builds trust, and drives measurable improvements in quality metrics and outcomes.<\/p>\n\n\n\n<p><strong>References<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li class=\"has-small-font-size\">Sung H, Ferlay J, Siegel RL, et al. <em>Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.<\/em> CA: A Cancer Journal for Clinicians. 2021;71(3):209\u2013249.<\/li>\n\n\n\n<li class=\"has-small-font-size\">American Cancer Society. <em>Breast Cancer Facts &amp; Figures 2023\u20132024.<\/em> 2023.<\/li>\n\n\n\n<li class=\"has-small-font-size\">Kerlikowske K, Zhu W, Tosteson AN, et al. <em>Outcomes of screening mammography by frequency, breast density, and postmenopausal hormone therapy.<\/em> JAMA Internal Medicine. 2017;177(9):1280\u20131287.<\/li>\n\n\n\n<li class=\"has-small-font-size\">Bleyer A, Welch HG. <em>Effect of three decades of screening mammography on breast-cancer incidence.<\/em> New England Journal of Medicine. 2020;367:1998\u20132005.<\/li>\n<\/ol>\n\n\n\n<p class=\"has-small-font-size\"><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Breast cancer remains one of the most common cancers among women, yet many health plans struggle to ensure members receive timely, guideline-based screening. Conflicting recommendations from major organizations makes it challenging to provide clear, actionable support to members.\u00b9 Individual risk factors\u2014such as family history, genetic mutations (e.g., BRCA1\/2), or dense breast tissue\u2014further complicate screening guidance.\u00b2,\u00b3 [&hellip;]<\/p>\n","protected":false},"author":77,"featured_media":328626,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ovia_blog_author":"","ovia_blog_author_image":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[3480,3462,1],"tags":[3572,3616,3756],"class_list":["post-328625","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","category-enterprise","category-uncategorized","tag-health-plan","tag-improving-health-outcomes","tag-womens-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - 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