Mary Mosquera

Trends in healthcare premiums, plans and consumer utilization may indicate potential changes for the profits of health plans.

Improving care and lowering costs for beneficiaries eligible for both Medicare and Medicaid is the holy grail of the government and health plans alike.

Medicare Advantage plans are beginning to contribute to the moderating trend of the growth in Medicare per capita spending, which is at overall historic lows as a result of fewer hospital readmissions and shift to generic prescription medications.

Pent-up demand for health insurance and curiosity about what the exchanges have to offer proved too much for the federal and many state systems to handle upon opening of the health insurance marketplaces.

With the difficulties that individuals have already faced in trying to access, shop and enroll online in the health insurance exchanges attracting most of the roll-out attention, it’s easy to forget that every new major online venture also opens consumers to the possibility of fraud.

Dignity Health has formed a revenue cycle management company with Optum.

The median total compensation of physician executives increased 7 percent to $325,000 in 2013 from $305,000 two years ago, keeping pace with the salary growth rate in 2011, according to a survey from Cejka Executive Search.

The Department of Health and Human Services has asked the University of Miami Hospital to pay back $3.7 million to Medicare for incorrectly billed inpatient claims uncovered in an audit but the hospital is disputing the government's calculations.

The quality of care that patients receive in a hospital varies by the type of insurance they have or their lack of insurance, researchers have found in a study in the latest issue of Health Affairs.

S&P Dow Jones Indices has launched a new indicator that measures claims data from 33 health insurance companies and other organizations to calculate the growth in commercial healthcare costs.