This course will review the drivers of healthcare cost and solutions that have been proposed to address cost, quality and value of health care. Many point blame for high costs on payment models that pay healthcare providers for every service they provide to patients, essentially paying more for volume and service intensity. This is called a Fee for Service (FFS) payment model. Some solutions, arguably the more sustainable solutions, are the combined strategies of new payment models, care management, insurance plan designs, consumer engagement tools, and technology.
Этот курс входит в специализацию ''Специализация Healthcare Trends for Business Professionals'
Future Healthcare Payment Models
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Чему вы научитесь
Identify the drivers and trends of healthcare spending from the perspective of various stakeholders.
Critically assess the impact of strategic and financial approaches that have been put in place by the ACA and the various modifications.
Evaluate how healthcare payment models currently work and the new direction that value-based payment is taking.
Identify how financial and non-financial metrics can be appropriately combined to improve a healthcare stakeholders’ value proposition.
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Курс 2 из 4 в программе
Гибкие сроки
Назначьте сроки сдачи в соответствии со своим графиком.
Начальный уровень
Прибл. 13 часа на выполнение
Предполагаемая нагрузка: 4 hours/week
Английский
Субтитры: Английский
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Северо-Восточный университет
Founded in 1898, Northeastern is a global research university with a distinctive, experience-driven approach to education and discovery. The university is a leader in experiential learning, powered by the world’s most far-reaching cooperative education program. The spirit of collaboration guides a use-inspired research enterprise focused on solving global challenges in health, security, and sustainability.
Программа курса: что вы изучите
4 ч. на завершение
Current Healthcare Spend and Trend
This week's focus will be on understanding the various stakeholders in healthcare. We will review the "math" surrounding healthcare costs and how it can fluctuate. Healthcare drivers will be reviewed to identify trends. As you move through the weekly material, I encourage you to think about the impact that the drivers have on the delivery of the healthcare services.
4 ч. на завершение
13 видео ((всего 48 мин.)), 1 материал для самостоятельного изучения, 3 тестов
13 видео
Introduction to Module 11мин
What's the Fuss? Part 15мин
What's the Fuss? Part 25мин
Stakeholders5мин
Healthcare Differs from Other Transactions3мин
Sources of Funds2мин
Uses of Funds2мин
Healthcare Spend4мин
Healthcare Trend4мин
Article Intro: "Cost Conundrum"2мин
Consumer Perspective: Person-on-the-Street Interview: Cathy3мин
Consumer Perspective: Person-on-the-Street Interview: Keith2мин
1 материал для самостоятельного изучения
The Cost Conundrum30мин
3 практического упражнения
Check Your Knowledge10мин
Check Your Knowledge30мин
Week 1 Quiz (Graded)35мин
4 ч. на завершение
I Thought we were done with this: Insurance Markets
This week we will describe the various elements which underline health insurance within the United States. For example, third party payment structures and risk pooling, to name a few. This week we will focus some time on the Affordable Care Act (ACA) which is a very complex piece of legislation. Special attention will be made on provisions of the ACA that impact insurance markets, financing, healthcare costs, and payment models.
4 ч. на завершение
12 видео ((всего 56 мин.)), 1 материал для самостоятельного изучения, 3 тестов
12 видео
How Does Insurance Work?3мин
Risk Pooling3мин
Selection Impact on Risk Pools and Premium Costs3мин
Background on U.S. Health Insurance2мин
Affordable Care Act5мин
Access to Insurance3мин
Interview with Mark Guanya: Part 117мин
Medicare Changes3мин
Insurance Sources3мин
Benefits3мин
Article Introduction: "The Bitter Pill"2мин
1 материал для самостоятельного изучения
The Bitter Pill30мин
3 практического упражнения
Check Your Knowledge30мин
Check Your Knowledge30мин
Week 2 Quiz (Graded)35мин
5 ч. на завершение
Value-Based Payment Models
This week will continue to "follow the money". We will focus much of our attention on the shortcomings of a Fee-for-Service payment model. Our attention will shift to alternative payment models that have been implemented, allowing for certain comparisons to be made. Lastly, we will review some results that have been achieved because of the new payment models. This week I will leave you by asking, If we know that the Fee-for-Service payment model is dysfunctional, why is it continuously used?
5 ч. на завершение
12 видео ((всего 71 мин.)), 2 материалов для самостоятельного изучения, 3 тестов
12 видео
Contractual Reforms to Address Cost and Trend3мин
Managed Care4мин
Article Introduction: Dealing with Medical Practice Variations2мин
Fee-for-Service Payment Models5мин
Bundled Payments4мин
Healthcare Differences6мин
Medical Homes3мин
Capitation or Salary3мин
Reference Pricing and the Consumer3мин
What Drives Results?5мин
Interview with Mark Guanya: Part 224мин
2 материала для самостоятельного изучения
Dealing with Medical Practice Variations: A Proposal for Action30мин
CMS Vignettes45мин
3 практического упражнения
Check Your Knowledge30мин
Check Your Knowledge30мин
Week 3 Quiz (Graded)35мин
4 ч. на завершение
Evolving Integrated Models: Putting It All Together
This week we shift our focus from reviewing current payment models and strategies to applying some of the models and concepts to "real-world" scenarios. We will use fictitious examples, as well as published articles to bring together all of the concepts. As with most things, there is not one single answer to solving the healthcare cost, quality, and value problems. I encourage you to think "outside of the box" and as always, "follow the money!"
4 ч. на завершение
8 видео ((всего 29 мин.)), 2 материалов для самостоятельного изучения, 3 тестов
8 видео
Congestive Heart Failure (CHF)4мин
Article Introduction2мин
Spine Care3мин
Bundles4мин
Article Introduction2мин
Iora Health3мин
Course Summary4мин
2 материала для самостоятельного изучения
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?25мин
The Last Company You Would Expect is Reinventing Health Benefits30мин
2 практического упражнения
Check Your Knowledge30мин
Check Your Knowledge30мин
Специализация Healthcare Trends for Business Professionals: общие сведения
This Specialization will provide learners with the knowledge and skills to recognize key shifts in the industry and to have an agile perspective on how these shifts might impact their organizations. Learners will be exposed to the key drivers in the global healthcare industry today so they might apply what they have learned to help their organizations.
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Зарегистрировавшись на сертификацию, вы получите доступ ко всем видео, тестам и заданиям по программированию (если они предусмотрены). Задания по взаимной оценке сокурсниками можно сдавать и проверять только после начала сессии. Если вы проходите курс без оплаты, некоторые задания могут быть недоступны.
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Записавшись на курс, вы получите доступ ко всем курсам в специализации, а также возможность получить сертификат о его прохождении. После успешного прохождения курса на странице ваших достижений появится электронный сертификат. Оттуда его можно распечатать или прикрепить к профилю LinkedIn. Просто ознакомиться с содержанием курса можно бесплатно.
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