Northeastern University

Future Healthcare Payment Models

Rina Vertes

Instructor: Rina Vertes

4,614 already enrolled

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Course

Gain insight into a topic and learn the fundamentals

4.6

(42 reviews)

Beginner level
No prior experience required
16 hours (approximately)
Flexible schedule
Learn at your own pace

What you'll learn

  • 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.

Details to know

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Assessments

11 quizzes

Taught in English

Course

Gain insight into a topic and learn the fundamentals

4.6

(42 reviews)

Beginner level
No prior experience required
16 hours (approximately)
Flexible schedule
Learn at your own pace

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This course is part of the Healthcare Trends for Business Professionals Specialization
When you enroll in this course, you'll also be enrolled in this Specialization.
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There are 4 modules in this course

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.

What's included

13 videos1 reading3 quizzes4 discussion prompts

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.

What's included

12 videos1 reading3 quizzes3 discussion prompts

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?

What's included

12 videos2 readings3 quizzes3 discussion prompts

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!"

What's included

8 videos2 readings2 quizzes1 peer review3 discussion prompts

Instructor

Instructor ratings
4.4 (6 ratings)
Rina Vertes
Northeastern University
1 Course4,614 learners

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Recommended if you're interested in Healthcare Management

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4.6

42 reviews

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DA
5

Reviewed on Jun 16, 2023

AC
4

Reviewed on Nov 3, 2020

SW
5

Reviewed on Dec 1, 2021

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