Back to Insights and Updates for ProvidersSeptember 2025

Change to HEDIS® specification for breast cancer screening

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When scheduling your patients for mammography, please note that the latest guidance from the U.S. Preventative Services Task Force (USPSTF) recommends screening every other year for all women starting at age 40 and continuing through age 74 to help detect breast cancer early and improve outcomes.

Prior to the 2024 update, the USPSTF had recommended that women in their 40s make an individual decision with their clinician on when they should start screening, taking their individual health history and preferences into account.

Consistent with the USPSTF’s updated guidance, the Healthcare Effectiveness Data and Information Set (HEDIS) has updated their breast cancer screening measure, expanding the recommended age range for breast cancer screenings to 40-74.

To meet 2025 HEDIS measurement requirements, eligible patients must have completed a mammogram between Oct. 1, 2023 and Dec. 31, 2025. We recommend that providers identify and schedule patients accordingly to ensure compliance.

Point32Health offers HEDIS tip sheets on a variety of topics. For guidance and best practices on HEDIS performance measures, please refer to our general HEDIS tip sheet page.

HEDIS® (Healthcare Effectiveness Data and Information Set) is a registered trademark of the National Committee for Quality Assurance (NCQA)