Jacqueline LaPointe

Boston

Editorial Director at RevCycleIntelligence

Editorial Director at EHR Intelligence

Editorial Director at Health IT Security

Editorial Director at HealthPayerIntelligence

Writer at Xtelligent Healthcare Media

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Articles

2025 MedTech Breakthrough winners for healthcare payments

3 days ago | techtarget.com | Jacqueline LaPointe

Viorika/istock via Getty Images Waystar, Candid Health and TrustCommerce are among the winners of the 2025 MedTech Breakthrough Awards in the healthcare payments category.
Understanding the Fundamentals of Accountable Care Organizations

1 week ago | techtarget.com | Jacqueline LaPointe

The healthcare payment process is undergoing a dramatic transformation as payers and providers shift from volume to value. While stakeholders are currently piloting many value-based care models, accountable care organizations are among the most popular and successful models to date due to their emphasis on coordinated healthcare. These organizations not only facilitate seamless coordinated healthcare but also comply with health policy initiatives focused on enhancing care.
DOJ sues Aetna, other major MA insurers over alleged kickbacks

1 week ago | techtarget.com | Jacqueline LaPointe

The Department of Justice accuses MA insurers Aetna, Elevance Health and Humana of paying kickbacks to brokers for enrollments and discrimination against disabled beneficiaries.
Health equity incentive in P4P model needs adjusting

1 week ago | techtarget.com | Jacqueline LaPointe

AndreyPopov/istock via Getty Ima A research letter examining the use of a health equity incentive in the End-Stage Renal Disease Treatment Choices Model points to further adjustments in pay-for-performance models.
44% of practices plan to renegotiate payer reimbursement rates

2 weeks ago | techtarget.com | Jacqueline LaPointe

Viorika/istock via Getty Images A survey shows physician practices aim to improve patient payments and payer reimbursement rates, with 44% planning renegotiations while focusing on claims automation and IT usage.
Report: 12 cents of every federal dollar spent on medical bills

2 weeks ago | techtarget.com | Jacqueline LaPointe

tashatuvango - stock.adobe.com About a fourth of federal spending goes to healthcare administration, including paying medical bills to physicians, hospitals and other healthcare providers, according to new data.
Study: Specialties most likely to use medical credit cards

2 weeks ago | techtarget.com | Jacqueline LaPointe

cnythzl/DigitalVision Vectors vi Medical credit card use is common, especially among dentists, podiatrists and chiropractors, despite scrutiny on this type of payment method for patient financial responsibility.
患者もうれしい？医療機関の「収益サイクル管理×AI」の利点はこれだ：RPAからAIへ【後編】

3 weeks ago | techtarget.itmedia.co.jp | Jacqueline LaPointe

2023年12月に医療ITベンダーAKASAが公開した調査結果は、450人以上の医療機関の最高財務責任者（CFO）から寄せられた回答をまとめたものだ。それによると、医療機関の約4分の3が収益サイクル管理の自動化に取り組んでいる。人手不足の深刻化を背景に、医療機関の大半は今後も継続的に自動化に注力し、その一環としてAI技術を採用することが見込まれている。 AI技術の利用は医療機関にとって待ったなしの取り組みだ。収益サイクル管理を担当するスタッフの退職や過労による休職、収益サイクル管理業務の外部委託による品質低下など、医療機関が現在直面している課題は多岐にわたる。医療ITベンダーCodaMetrix代表取締役兼CEOのハミド・タバタバイ氏によると、医療業界は収益サイクル管理におけるAI技術の利用に関して転換点を迎えている。「早期導入者は、採用したAI技術についてさまざまな問題点が見えてきて、ベンダー戦略を見直している」とタバタバイ氏は説明する。...
Gutting ACA no-cost coverage to affect millions, mostly women

3 weeks ago | techtarget.com | Jacqueline LaPointe

tashatuvango - stock.adobe.com Nearly 1 in 3 adults with employer-sponsored health insurance received ACA no-cost coverage of preventive services threatened by a pending legal challenge, according to a study.
Indirect billing by APCs common for office-based care

3 weeks ago | techtarget.com | Jacqueline LaPointe

Viorika/istock via Getty Images A study shows indirect billing by advanced practice clinicians (APCs) occurred for 39% of all office-based encounters with Medicare patients in 2022, highlighting the role of APCs. By Jacqueline LaPointe, Director of Editorial Published: 22 Apr 2025 Indirect billing in Medicare is common for office-based encounters, suggesting underrepresentation of the care advanced practice clinicians, or APCs, provide to patients. A recent study in JAMA Health Forum analyzed...