Back to Future Healthcare Payment Models
Northeastern University

Future Healthcare Payment Models

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.

Status: Medicaid
Status: Performance Measurement
BeginnerCourse16 hours

Featured reviews

SW

5.0Reviewed Dec 1, 2021

Good explanations & conversations. The first few sections were a bit simplistic but the later chapters were excellent. Glad I spent the time.

MN

5.0Reviewed Apr 12, 2022

Excellent instructorGave the course 5 stars, however one thing I would point out is that some articles are not available without paid subscriptions to the source newspapers.

AC

4.0Reviewed Nov 3, 2020

It is a good course. you will get the idea of healthcare payment model.

DA

5.0Reviewed Jun 16, 2023

I want to pursue PhD in Health Economics, so this course has enlightened me the more and help me to tackle some issues i will be facing.

PS

4.0Reviewed Apr 14, 2020

Good course. Give basic understanding of various payment model in a very clear and engaging manner

OO

5.0Reviewed May 5, 2020

The energy the Professor brings into the course is amazing.

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