(January 8, 2019, Newark, NJ) -- Breast cancer experts offer differing advice when it comes to when and how often a woman should get a mammogram and that conflicting advice has created confusion that could have an impact on treatment. Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) is addressing this problem by covering the cost for 5,000 of its members to participate in a five-year study intended to improve screening guidelines. The Women Informed to Screen Depending On Measures of Risk (WISDOM) Study seeks to clarify which method is safer and more effective for women: routine yearly screening or a personalized screening schedule that takes into consideration genetic and other personal factors like age, family history, and breast density.

“Working with the Athena Breast Health Network to identify a more personalized approach to breast cancer screening helps further Horizon’s goal of connecting members with the right care, in the right setting, at the right time,” said Horizon CEO Kevin Conlin. “By supporting the development of better screening guidelines, we can give our physician partners a better tool to help their patients, help women avoid unnecessary tests and procedures, and lower the total cost of care for our members.”

“Horizon has, for many years, invested significant money and resources to support the development of evidence-based diagnostic and treatment protocols through clinical-trials and other forms of research like the WISDOM Study. The pace at which scientists and doctors are producing new approaches and therapies has been accelerating over the past few years. Horizon constantly updates our medical policies to reflect the latest evidence-based recommendations produced by this research so that our members can benefit from new and life-saving medical breakthroughs,” added Allen Karp, Horizon’s Executive Vice President for Health Care and Transformation Management.
“Breast cancer is the second leading cancer-related cause of death in New Jersey and early detection is the key to successful treatment, yet the most recent data shows that 1 in 5 women age 50-74 living here did not have a mammogram. Improving breast cancer screening protocols can help us close that gap in care and focus on reaching women with a higher risk profile,” added Vice President and Chief Medical Officer Thomas Graf.

Funded with support from the Patient-Centered Outcomes Research Institute and the Robert Wood Johnson Foundation, the Study is being conducted by The Athena Breast Health Network (Athena) - a group of breast cancer experts, health care providers, researchers, and patient advocates at five University of California Medical Centers.

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