Course Overview
As health care professionals work to make health care better, more efficient, and more affordable, health care management has emerged as one of our industry’s most valuable tools. AHIP’s Healthcare Management: An Introduction (AHM250) online course will help you better-serve your members and clients by strengthening your understanding of the management principles transforming health care.
What You’ll Learn
- Gain a practical understanding of the evolution of health care delivery and financing in the United States, from pre-paid plans to ACOs
- Understand the basic concepts of health insurance provider organizations
- Distinguish among HMOs, PPOs, POSs, and managed indemnity
- Recognize HSAs’ and HRAs’ roles in today’s consumer-centric environment
- Identify different types of health insurance provider organizations
- Learn the importance of network structure and management in delivering quality healthcare
- Examine the interplay of information technology with essential functions of health insurance provider operations
- Explore the concepts of rating, underwriting, and claims administration in health insurance provider environments
- Delve into legislative and regulatory issues affecting the health insurance industry, including the Affordable Care Act (ACA) and the 21st Century Cures Act
- Understand role of government-sponsored programs, including Medicare and Medicaid, in providing coverage to large segments of the population
- Review relevant terms, industry issues, care scenarios, and concepts
Who Should Take This Course
- Agents and brokers
- Case managers
- Financial planners
- Health insurance provider staff
- Medical directors
- Medical management staff