Group Health Cooperative researchers say plans that provide full coverage of smoking cessation programs do so wisely. At $328 per person, they wrote in a Sept. 3 New England Journal of Medicine study, such programs are cheaper than hypertension and heart disease — which carry average annual costs of $5,921 and $6,941 respectively.... Highmark has settled a Medicare fraud investigation for $38 million. The insurer pinned most of its problems on faulty information systems.
FiercePharma has compiled a list of the top 15 cancer medications that are expected to dominate the oncology market in 2022.
Joint venture plans are starting to demonstrate their ability to implement clinical management and financial management reforms. A JV health plan replaces the offloading of financial risk by health plans to ill-equipped providers with an executive-level cost management committee stated jointly by the hospital and payer.
For several days, a middle-aged woman who claimed to be a doctor in training roamed the halls of Brigham and Women’s Hospital in Boston, dressed in scrubs, asking questions at a lecture, attending patient rounds, and observing surgical procedures, according to a report in the Boston Globe