Medical Management

Course Overview

Over the last several years, landmark reports have brought attention to the gaps between evidence-based best practices and the care some patients actually receive. However, when health care organizations adopt medical management tools, the gap closes. As care improves, costs go down. The Medical Management (AHM540) online course provides the information tools you need to ensure that more consumers and patients receive safe, effective, affordable care.

What You’ll Learn
  • Understand the role of medical management in health insurance provider organizations
  • Identify how and why a delegation is used in medical management
  • Examine the role of medical management in providing pharmacy services
  • Recognize the importance of preventive care and self-care programs
  • Explore strategies for managing complex individual cases
  • Understand disease management—its purpose, processes, and programs
  • Learn how medical management is used in different types of care
  • Quality management methods—measurement and improvements
  • Recognize how medical management is used to deliver Medicare and Medicaid services
Who Should Take This Course
  • Case managers
  • Government benefit programs administrators
  • Health insurance provider staff
  • Medical directors
  • Medical management staff
  • Pharmacy benefit manager staff

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