The latest on managing care, value-based care, insurance markets, payers & providers

Michigan Battle About Transplant Coverage Ends

Blue Cross Blue Shield of Michigan has agreed to cover bone marrow transplants for women with ovarian cancer and for breast cancer patients whose tumors have the potential to be aggressive. The decision ends years of lawsuits against the insurer about coverage for the therapy, which can run as much as $120,000 per treatment.

While bone marrow transplants have become more common, their expense has touched off controversy about their use while long-term follow-up studies are completed. Cancer patients have driven demand, contending that their illnesses don't give them the luxury of waiting for research results.

The coverage applies only to transplants done at federally-designated cancer centers.

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

  • Doug Jones and the ACA, Epic misses a White House meeting, and man caves for man-flu sufferers
  • CVS-Aetna deal may trigger merger mania, Johns Hopkins criticized for lack of asthma prevention, & Columbia sees free-ride future for all of its med students

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.