Bits, Bytes & Briefs

Published in Summer 2015

Smarter Ordering of Breast Biomarker Tests Could Save Millions in Health Care Dollars

A review of medical records for almost 200 patients with breast cancer suggests that more selective use of biomark­er tests for such patients has the potential to save millions of dollars in health care spending without compromising care, according to Johns Hopkins researchers. Specifical­ly, waiting to perform these tests until a patient has a full excisional biopsy instead of “reflexively” or automatically testing for them on initial small “core” biopsies could save as much as $117 million, according to a report on the study published in the July issue of The American Journal of Surgical Pathology.

Better Continuity of Care May Significantly Reduce Overuse of Medical Tests

A “look back” study of Medicare fee-for-service claims for more than 1.2 million patients over age 65 has directly affirmed and quantified a long-suspected link between lower rates of coordinated health care services and higher rates of unnecessary medical tests and procedures. In a report on the study published online May 18 in JAMA Internal Medicine, a trio of Johns Hopkins researchers say they analyzed 5 percent of Medicare claims using a previously validated set of 19 overused procedures and a measure of so-called continuity of care.