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For working in public and private health insurance plans you will need to know the major issues related.

This course will let you know the major issues related to the design, function, management, regulation and evaluation of health insurance and managed care plans. You can build a foundation on the basic concepts pertaining to private and public sector health insurance/benefit plans. You will explore population care management techniques, provider payment, organizational integration, cost-containment, and public policy.

Assessment

This course does not involve any written exams. Students need to answer 5 assignment questions to complete the course, the answers will be in the form of written work in pdf or word. Students can write the answers in their own time. Each answer needs to be 200 words (1 Page). Once the answers are submitted, the tutor will check and assess the work.

Certification

Edukite courses are free to study. To successfully complete a course you must submit all the assignment of the course as part of the assessment. Upon successful completion of a course, you can choose to make your achievement formal by obtaining your Certificate at a cost of £49.

Having an Official Edukite Certification is a great way to celebrate and share your success. You can:

  • Add the certificate to your CV or resume and brighten up your career
  • Show it to prove your success

 

Course Credit: JHSPH Open

Course Curriculum

Module: 01
Lecture 1 Overview of Insurance or Managed Care Principles and History 00:15:00
Lecture 2 HMOs and Integrated Delivery Systems 00:20:00
Lecture 3 Risk, Capitation, and other Financial Issues 00:15:00
Lecture 4 PPOs and CDHPs and other non-HMO models 00:20:00
Lecture 6 Quality & Accountability I 00:25:00
Module: 02
Lecture 10 MC & Public Policy I Medicare & Medicaid Managed Care 00:20:00
Lecture 11 MC & Public Sector Plans II Medicaid and Health Reform for Uninsured 00:20:00
Lecture 12 Managed Care in a Global Context 00:40:00
Lecture 14 Pharmaceuticals PBMs & Medicare Part D 00:50:00
Lecture 15 Managed Behavioral or Mental Health Services 00:15:00
Assessment
Submit Your Assignment 00:00:00
Certification 00:00:00

Course Reviews

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