Diagnostic Imaging Analysis
- This RFP was uploaded by the owner.
Susan G. Komen is seeking proposals from firms and/or individuals to conduct an analysis of coverage and cost for breast diagnostic imaging (mammography, ultrasound, magnetic resonance imaging) in different health insurance types - Medicare, Medicaid, and private coverage. Diagnostic imaging is used to check for breast cancer after a lump or other sign or symptom of the disease has been found clinically or on screening mammography. Diagnostic imaging is also typically recommended for asymptomatic women that have undergone a lumpectomy followed by radiation therapy and those with a prior history of breast cancer.
Diagnostic imaging is typically more expensive than a screening mammography. As a result, patients are often burdened with co-pays and other cost-sharing when receiving diagnostic imaging, unlike with screening mammograms which are fully covered by Medicare and most private plans.
For women who receive abnormal results on a screening mammogram, reducing out-of-pocket costs for diagnostic imaging would improve access and utilization, and allow more timely diagnosis and treatment of breast cancer.
This analysis should define the problem in all health insurance types and assess potential public policy solutions. We seek data to supplement stories from women who have faced this problem.
