Professional Academy for Health Care Management Designation

Course Overview

When you earn this career-driving professional credential, you’ll demonstrate to your colleagues and clients that you have achieved a thorough understanding of the fundamental building blocks of health care management and organizational structures. You’ll also benefit from a comprehensive understanding of the basic concepts of health care management, as well as the legislative, regulatory and ethical issues that impact our industry, to help you do your job even better.

This career-driving professional credential is attained by completing:-

  • Healthcare Management: An Introduction (AHM250)
What You’ll Learn
  • 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

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