About this Course

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Beginner Level

Beginning course

Approx. 5 hours to complete
English

What you will learn

  • Explain fee-for-service medical coding and payment mechanisms and why fee-for-service leads to higher costs without clearly improving outcomes.

  • Describe the range of value-based payment options from the HCP-LAN Alternative Payment Model framework.

  • Describe the importance of risk adjustment, quality scores, and patient satisfaction measures in value-based care contracts.

Skills you will gain

Health EducationPublic HealthHealth Care
Shareable Certificate
Earn a Certificate upon completion
100% online
Start instantly and learn at your own schedule.
Flexible deadlines
Reset deadlines in accordance to your schedule.
Beginner Level

Beginning course

Approx. 5 hours to complete
English

Offered by

Placeholder

University of Houston

Syllabus - What you will learn from this course

Week
1

Week 1

2 hours to complete

From Fee-For-Service to Value-Based Payments

2 hours to complete
10 videos (Total 48 min), 2 readings, 1 quiz
10 videos
How This Course Works3m
Level Set2m
Current and Historical Reimbursement Models4m
CPT (Current Procedural Terminology) Codes4m
ICD (International Classification of Disease) Codes2m
Fee-For-Service: Volume Not Value2m
Population Costs and Value: Think Like an Insurance Company10m
Moving to Value8m
Examples of Current Value-Based Arrangements in Traditional Medicare7m
2 readings
Explore the Optional Resources for Module 110m
References for Module 110m
1 practice exercise
Module 1 Quiz30m
Week
2

Week 2

2 hours to complete

Quality and Risk Adjustment in Value-Based Payments

2 hours to complete
11 videos (Total 58 min), 1 reading, 1 quiz
11 videos
The Role of Risk Adjustment in Value-Based Care and Payment Models7m
Medicare Risk Adjustment (MRA) Payment Model7m
Risk Adjustment Is a Collaborative Effort3m
Measuring and Paying for Quality3m
Medicare Star Rating Program Framework4m
Consumer Assessment of Healthcare Providers and Systems3m
HEDIS5m
Patient Safety Measures2m
Comprehensive Population-Based Payment Models from HCP-LAN9m
A Value-Based Payment Spectrum5m
1 reading
Explore the Optional Resources for Module 210m
1 practice exercise
Module 2 Quiz30m
Week
3

Week 3

1 hour to complete

Course Project: Making This My Own

1 hour to complete

About the Value-Based Care Specialization

Value-Based Care

Frequently Asked Questions

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