The Us Healthcare System - Health Insurance Products

Learn the key elements of health insurance products and why they matter

What you'll learn

This series of courses give you a wholistic & concise view of the key elements of the US health system

Become familiar with the related terminologies and understand why these elements are important

Learn how and why US health insurance products are designed the way they are

Learn about the major payor types

Learn about the benefits that are covered

Learn about the different provider network types

Learn how different profiles of consumers/patients view and choose health insurance

Requirements

none

Description

BACKGROUNDThe US healthcare system spends over $4trillion per year. It is enormous and has many opportunities.If you want to capture these opportunities, you have to be familiar with the key elements and understand why they are important.ABOUT THIS SERIESThe US Health System is a series of courses that introduce the key elements of the US health system. This is the first in the series, on Health Insurance Products:Types of health insurance productsThe key elementsWho pays: payor typesWhat’s covered: benefit categoriesHow to access care: provider networksBenefit/Payment levels: cost sharingUsing different points of viewThrough perspectives of different personas, see how these different elements are important in health insuranceThe lectures are short, concise, practical. You will see only what you really need to know. This course will save you hours of reading boring articles, government regulations only to have more questions than answers.ABOUT MEI've over 20 years of experience in the health care industry. I'm a fully qualified health actuary and have a MSc in Health Policy from the London School of Economics. My goal is to help you excel in the workplace.So CLICK ON, and let me share with you what I wish someone had showed me 20 years ago!

Overview

Section 1: Introduction

Lecture 1 Introduction & welcome!

Lecture 2 Health insurance product types

Lecture 3 5 key elements of health insurance products

Lecture 4 Payors/Insurers

Lecture 5 Benefit categories

Lecture 6 Provider networks

Lecture 7 Provider network management

Lecture 8 Insurance payments

Lecture 9 Rx formulary management

Lecture 10 Health plan comparisons

Lecture 11 Bring it all together - different perspectives on health plans

Anyone who is interested in the US health system, whether you're looking to get into or already are working in it.,For those new to the US health system, the complexity of the US health system can be overwhelming. Skip reading boring text books or government reports, this course teaches you the key elements in a concise and practical way so you can get up to speed quickly.,Even if you already have existing knowledge, the short course provides a wholistic overview to fill gaps in your knowledge, or just serve as a quick refresher.