Future Healthcare Payment Models

开始时间: 01/16/2021 持续时间: Unknown

所在平台: Coursera

课程类别: 其他类别

大学或机构: CourseraNew

   

课程主页: https://www.coursera.org/learn/healthcare-payment-models

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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.

未来的医疗保健支付模式:本课程将回顾医疗保健成本的驱动因素以及为解决医疗保健的成本,质量和价值而提出的解决方案。许多人将支付模式的高成本归咎于支付模式,该模式向医疗保健提供者提供给患者的每项服务都向其支付,本质上是为数量和服务强度支付更多费用。这称为服务费(FFS)付款模式。一些解决方案(可以说是更可持续的解决方案)是新支付模型,护理管理,保险计划设计,消费者参与工具和技术的组合策略。 利用这些信息,我们将探索各种情况,展示可实施的协调护理和支付策略,以改善患者的健康状况和医疗服务的成本。 在本课程结束时,学习者应该能够: 1.从包括医疗提供者,保险公司,政府和私人购买者以及付款方在内的各种利益相关者的角度确定医疗保健支出的驱动因素和趋势 2.严格评估ACA采取的战略和财务方法以及各种修改的影响。 3.评估医疗保健支付模型当前的工作方式以及基于价值的支付所采取的新方向。 4.确定如何适当地组合财务和非财务指标,以改善医疗保健利益相关者的价值主张。

课程大纲

Current Healthcare Spend and Trend
I Thought we were done with this: Insurance Markets
Value-Based Payment Models
Evolving Integrated Models: Putting It All Together

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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 p

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