Este curso forma parte de Programa especializado: Healthcare Trends for Business Professionals

4.5
estrellas
35 calificaciones

Rina Vertes

3867 ya inscrito

Ofrecido Por

Programa especializado: Healthcare Trends for Business ProfessionalsUniversidad del Noreste

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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. 
Using that information we will explore various situations, showcasing coordinated care and payment strategies that can be implemented to improve patient health and the cost of delivery of healthcare services.

By the end of this course, the learner should be able to: 

1. Identify the drivers and trends of healthcare spending from the perspective of various stakeholders, including medical providers, insurers, government and private purchasers and payments
2. Critically assess the impact of strategic and financial approaches that have been put in place by the ACA and the various modifications. 
3. Evaluate how healthcare payment models currently work and the new direction that value-based payment is taking.
4.Identify how financial and non-financial metrics can be appropriately combined to improve a healthcare stakeholders’ value proposition.

Fechas límite flexibles

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Curso 2 de 4 en

Programa especializado: Healthcare Trends for Business Professionals

Nivel principiante

Aprox. 16 horas para completar

Inglés (English)

¿Podría tu empresa beneficiarse de la capacitación de los empleados en las habilidades más demandadas?

Prueba Coursera para negocios

Qué aprenderás

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.

Fechas límite flexibles

Restablece las fechas límite en función de tus horarios.

Certificado para compartir

Obtén un certificado al finalizar

100 % en línea

Comienza de inmediato y aprende a tu propio ritmo.

Curso 2 de 4 en

Programa especializado: Healthcare Trends for Business Professionals

Nivel principiante

Aprox. 16 horas para completar

Inglés (English)

¿Podría tu empresa beneficiarse de la capacitación de los empleados en las habilidades más demandadas?

Prueba Coursera para negocios

Instructor

Calificación del instructor

4,4/5 (6 calificaciones)

Rina Vertes

Executive Professor, President at Marjos Business Consulting LLC

D'Amore-McKim School of Business

3867 alumnos

1 curso

Ofrecido por

Universidad del Noreste

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.

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Programa - Qué aprenderás en este curso

Semana1

Semana 1

4 horas para completar

Current Healthcare Spend and Trend

4 horas para completar

13 videos (Total 48 minutos), 1 lectura, 3 cuestionarios

13 videos

Course Introduction3mIntroduction to Module 11mWhat's the Fuss? Part 15mWhat's the Fuss? Part 25mStakeholders5mHealthcare Differs from Other Transactions3mSources of Funds2mUses of Funds2mHealthcare Spend4mHealthcare Trend4mArticle Intro: "Cost Conundrum"2mConsumer Perspective: Person-on-the-Street Interview: Cathy3mConsumer Perspective: Person-on-the-Street Interview: Keith2m

1 lectura

The Cost Conundrum30m

3 ejercicios de práctica

Check Your Knowledge10mCheck Your Knowledge30mWeek 1 Quiz (Graded)35m

Semana2

Semana 2

4 horas para completar

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 horas para completar

12 videos (Total 56 minutos), 1 lectura, 3 cuestionarios

12 videos

Week 2 Introduction2mHow Does Insurance Work?3mRisk Pooling3mSelection Impact on Risk Pools and Premium Costs3mBackground on U.S. Health Insurance2mAffordable Care Act5mAccess to Insurance3mInterview with Mark Guanya: Part 117mMedicare Changes3mInsurance Sources3mBenefits3mArticle Introduction: "The Bitter Pill"2m

1 lectura

The Bitter Pill30m

3 ejercicios de práctica

Check Your Knowledge30mCheck Your Knowledge30mWeek 2 Quiz (Graded)35m

Semana3

Semana 3

5 horas para completar

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 horas para completar

12 videos (Total 71 minutos), 2 lecturas, 3 cuestionarios

12 videos

Week 3 Introduction3mContractual Reforms to Address Cost and Trend3mManaged Care4mArticle Introduction: Dealing with Medical Practice Variations2mFee-for-Service Payment Models5mBundled Payments4mHealthcare Differences6mMedical Homes3mCapitation or Salary3mReference Pricing and the Consumer3mWhat Drives Results?5mInterview with Mark Guanya: Part 224m

2 lecturas

Dealing with Medical Practice Variations: A Proposal for Action30mCMS Vignettes45m

3 ejercicios de práctica

Check Your Knowledge30mCheck Your Knowledge30mWeek 3 Quiz (Graded)35m

Semana4

Semana 4

4 horas para completar

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 horas para completar

8 videos (Total 29 minutos), 2 lecturas, 3 cuestionarios

8 videos

Week 4 Introduction2mCongestive Heart Failure (CHF)4mArticle Introduction2mSpine Care3mBundles4mArticle Introduction2mIora Health3mCourse Summary4m

2 lecturas

Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?25mThe Last Company You Would Expect is Reinventing Health Benefits30m

2 ejercicios de práctica

Check Your Knowledge30mCheck Your Knowledge30m

Reseñas

4.5

15 reseña

5 stars
62,85 %
4 stars
28,57 %
3 stars
5,71 %
1 star
2,85 %

Principales reseñas sobre FUTURE HEALTHCARE PAYMENT MODELS

por SW1 de dic. de 2021

Good explanations & conversations. The first few sections were a bit simplistic but the later chapters were excellent. Glad I spent the time.

por MN12 de abr. de 2022

Excellent instructor

Gave the course 5 stars, however one thing I would point out is that some articles are not available without paid subscriptions to the source newspapers.

por AC3 de nov. de 2020

It is a good course. you will get the idea of healthcare payment model.

por OO5 de may. de 2020

The energy the Professor brings into the course is amazing.

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Preguntas Frecuentes

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Es posible que el curso ofrezca la opción 'Curso completo, sin certificado'. Esta opción te permite ver todos los materiales del curso, enviar las evaluaciones requeridas y obtener una calificación final. También significa que no podrás comprar una experiencia de Certificado.
¿Qué recibiré si me suscribo a este Programa especializado?
Cuando te inscribes en un curso, obtienes acceso a todos los cursos que forman parte del Programa especializado y te darán un Certificado cuando completes el trabajo. Se añadirá tu Certificado electrónico a la página Logros. Desde allí, puedes imprimir tu Certificado o añadirlo a tu perfil de LinkedIn. Si solo quieres leer y visualizar el contenido del curso, puedes auditar el curso sin costo.
¿Hay ayuda económica disponible?
Sí. En ciertos programas de aprendizaje, puedes postularte para recibir ayuda económica o una beca en caso de no poder costear los gastos de la tarifa de inscripción. Si hay ayuda económica o becas disponibles para tu selección de programa de aprendizaje, verás un enlace para postularte en la página de descripción.

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Future Healthcare Payment Models

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