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Future Healthcare Payment Models
  • Level Foundation
  • المدة 16 ساعات hours
  • الطبع بواسطة Northeastern University
  • Offered by

عن

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.

الوحدات

Weekly Introduction

    • 2 Videos
    • 1 Discussion
Show info about module content

1 Discussions

  • Week 1 General Discussion

2 Videos

  • Course Introduction
  • Introduction to Module 1

Consumer Perspective

    • 2 Videos
    • 1 Assignment
Show info about module content

1 Assignment

  • Check Your Knowledge

2 Videos

  • What's the Fuss? Part 1
  • What's the Fuss? Part 2

Stakeholders

    • 1 Videos
    • 1 Discussion
Show info about module content

1 Discussions

  • Stakeholders

1 Videos

  • Stakeholders

Sourcing Healthcare Cost

    • 3 Videos
    • 1 Assignment
Show info about module content

1 Assignment

  • Check Your Knowledge

3 Videos

  • Healthcare Differs from Other Transactions
  • Sources of Funds
  • Uses of Funds

Healthcare Spend and Utilization

    • 5 Videos
    • 1 Readings
    • 2 Discussion
Show info about module content

2 Discussions

  • Person on the Street Discussion
  • Article Discussion

5 Videos

  • Healthcare Spend
  • Healthcare Trend
  • Article Intro: "Cost Conundrum"
  • Consumer Perspective: Person-on-the-Street Interview: Cathy
  • Consumer Perspective: Person-on-the-Street Interview: Keith

1 Readings

  • The Cost Conundrum

Weekly Quiz

    • 1 Assignment
Show info about module content

1 Assignment

  • Week 1 Quiz (Graded)

Weekly Introduction

    • 1 Videos
    • 1 Discussion
Show info about module content

1 Discussions

  • Week 2 General Discussion

1 Videos

  • Week 2 Introduction

How Insurance Works

    • 3 Videos
    • 1 Discussion
    • 1 Assignment
Show info about module content

1 Assignment

  • Check Your Knowledge

1 Discussions

  • Purchasing Insurance

3 Videos

  • How Does Insurance Work?
  • Risk Pooling
  • Selection Impact on Risk Pools and Premium Costs

Insurance History, Affordable Care Act and Access to Insurance

    • 5 Videos
    • 1 Assignment
Show info about module content

1 Assignment

  • Check Your Knowledge

5 Videos

  • Background on U.S. Health Insurance
  • Affordable Care Act
  • Access to Insurance
  • Interview with Mark Guanya: Part 1
  • Medicare Changes

Insurance Sources and Benefits

    • 3 Videos
    • 1 Readings
    • 1 Discussion
Show info about module content

1 Discussions

  • Article Discussion

3 Videos

  • Insurance Sources
  • Benefits
  • Article Introduction: "The Bitter Pill"

1 Readings

  • The Bitter Pill

Weekly Quiz

    • 1 Assignment
Show info about module content

1 Assignment

  • Week 2 Quiz (Graded)

Weekly Introduction

    • 1 Videos
    • 1 Discussion
Show info about module content

1 Discussions

  • Week 3 General Discussion

1 Videos

  • Week 3 Introduction

Untitled Lesson

    • 3 Videos
    • 1 Readings
    • 1 Discussion
Show info about module content

1 Discussions

  • Article Discussion

3 Videos

  • Contractual Reforms to Address Cost and Trend
  • Managed Care
  • Article Introduction: Dealing with Medical Practice Variations

1 Readings

  • Dealing with Medical Practice Variations: A Proposal for Action

Payment Models

    • 4 Videos
    • 1 Readings
    • 1 Discussion
    • 1 Assignment
Show info about module content

1 Assignment

  • Check Your Knowledge

1 Discussions

  • Consumer Engagement

4 Videos

  • Fee-for-Service Payment Models
  • Bundled Payments
  • Healthcare Differences
  • Medical Homes

1 Readings

  • CMS Vignettes

Pricing and the Consumer

    • 4 Videos
    • 1 Assignment
Show info about module content

1 Assignment

  • Check Your Knowledge

4 Videos

  • Capitation or Salary
  • Reference Pricing and the Consumer
  • What Drives Results?
  • Interview with Mark Guanya: Part 2

Weekly Quiz

    • 1 Assignment
Show info about module content

1 Assignment

  • Week 3 Quiz (Graded)

Weekly Introduction

    • 1 Videos
    • 1 Discussion
Show info about module content

1 Discussions

  • Week 4 General Discussion

1 Videos

  • Week 4 Introduction

Case Study - Congestive Heart Failure (CHF)

    • 1 Videos
Show info about module content

1 Videos

  • Congestive Heart Failure (CHF)

Article - "America's Epidemic of Unnecessary Care"

    • 1 Videos
    • 1 Readings
    • 1 Discussion
Show info about module content

1 Discussions

  • Article Discussion

1 Videos

  • Article Introduction

1 Readings

  • Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?

Case Study - Spine Care and Bundles

    • 2 Videos
    • 1 Assignment
Show info about module content

1 Assignment

  • Check Your Knowledge

2 Videos

  • Spine Care
  • Bundles

Article - "The Last Company You Would Expect is Reinventing Health Benefits"

    • 1 Videos
    • 1 Readings
    • 1 Discussion
Show info about module content

1 Discussions

  • Article Discussion

1 Videos

  • Article Introduction

1 Readings

  • The Last Company You Would Expect is Reinventing Health Benefits

Case Study - Iora Health

    • 1 Videos
    • 1 Assignment
Show info about module content

1 Assignment

  • Check Your Knowledge

1 Videos

  • Iora Health

Course Assessment and Summary

    • 1 Videos
    • 1 PeerReview
Show info about module content

1 Peer Review

  • Payment Model Paper (Graded)

1 Videos

  • Course Summary

Auto Summary

"Future Healthcare Payment Models" is a foundational Health & Fitness course offered on Coursera, instructed by industry experts. This course delves into the drivers of healthcare costs and explores sustainable solutions like new payment models, care management, and technology. Learners will gain insights into Fee for Service (FFS) models, value-based payment trends, and stakeholder perspectives. The course spans 960 minutes and is available through Starter and Professional subscriptions. Ideal for those interested in understanding and improving healthcare cost and delivery.

Rina Vertes
Instructor

Rina Vertes