About this Course
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Beginner Level

Approx. 10 hours to complete

Suggested: 5 hours/week...

English

Subtitles: English

What you will learn

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    Identify the drivers and trends of healthcare spending from the perspective of various stakeholders.

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    Critically assess the impact of strategic and financial approaches that have been put in place by the ACA and the various modifications.

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    Evaluate how healthcare payment models currently work and the new direction that value-based payment is taking.

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    Identify how financial and non-financial metrics can be appropriately combined to improve a healthcare stakeholders’ value proposition.

100% online

Start instantly and learn at your own schedule.

Flexible deadlines

Reset deadlines in accordance to your schedule.

Beginner Level

Approx. 10 hours to complete

Suggested: 5 hours/week...

English

Subtitles: English

Syllabus - What you will learn from this course

Week
1
3 hours to complete

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.

...
13 videos (Total 48 min), 1 reading, 3 quizzes
13 videos
Introduction to Module 11m
What's the Fuss? Part 15m
What's the Fuss? Part 25m
Stakeholders5m
Healthcare Differs from Other Transactions3m
Sources of Funds2m
Uses of Funds2m
Healthcare Spend4m
Healthcare Trend4m
Article Intro: "Cost Conundrum"2m
Consumer Perspective: Person-on-the-Street Interview: Cathy3m
Consumer Perspective: Person-on-the-Street Interview: Keith2m
1 reading
The Cost Conundrum30m
3 practice exercises
Check Your Knowledge10m
Check Your Knowledge10m
Week 1 Quiz (Graded)35m
Week
2
3 hours to complete

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.

...
12 videos (Total 56 min), 1 reading, 3 quizzes
12 videos
How Does Insurance Work?3m
Risk Pooling3m
Selection Impact on Risk Pools and Premium Costs3m
Background on U.S. Health Insurance2m
Affordable Care Act5m
Access to Insurance3m
Interview with Mark Guanya: Part 117m
Medicare Changes3m
Insurance Sources3m
Benefits3m
Article Introduction: "The Bitter Pill"2m
1 reading
The Bitter Pill30m
3 practice exercises
Check Your Knowledge10m
Check Your Knowledge10m
Week 2 Quiz (Graded)35m
Week
3
4 hours to complete

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?

...
12 videos (Total 71 min), 2 readings, 3 quizzes
12 videos
Contractual Reforms to Address Cost and Trend3m
Managed Care4m
Article Introduction: Dealing with Medical Practice Variations2m
Fee-for-Service Payment Models5m
Bundled Payments4m
Healthcare Differences6m
Medical Homes3m
Capitation or Salary3m
Reference Pricing and the Consumer3m
What Drives Results?5m
Interview with Mark Guanya: Part 224m
2 readings
Dealing with Medical Practice Variations: A Proposal for Action30m
CMS Vignettes45m
3 practice exercises
Check Your Knowledge10m
Check Your Knowledge10m
Week 3 Quiz (Graded)35m
Week
4
5 hours to complete

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!"

...
8 videos (Total 29 min), 2 readings, 3 quizzes
8 videos
Congestive Heart Failure (CHF)4m
Article Introduction2m
Spine Care3m
Bundles4m
Article Introduction2m
Iora Health3m
Course Summary4m
2 readings
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?25m
The Last Company You Would Expect is Reinventing Health Benefits30m
2 practice exercises
Check Your Knowledge10m
Check Your Knowledge10m

Instructor

Avatar

Rina Vertes

Executive Professor, President at Marjos Business Consulting LLC
D'Amore-McKim School of Business

About Northeastern University

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....

About the Healthcare Trends for Business Professionals Specialization

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....
Healthcare Trends for Business Professionals

Frequently Asked Questions

  • Once you enroll for a Certificate, you’ll have access to all videos, quizzes, and programming assignments (if applicable). Peer review assignments can only be submitted and reviewed once your session has begun. If you choose to explore the course without purchasing, you may not be able to access certain assignments.

  • When you enroll in the course, you get access to all of the courses in the Specialization, and you earn a certificate when you complete the work. Your electronic Certificate will be added to your Accomplishments page - from there, you can print your Certificate or add it to your LinkedIn profile. If you only want to read and view the course content, you can audit the course for free.

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