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所在平台: Udemy |
课程主页: https://www.udemy.com/course/market-based-approaches-to-finding-value-in-healthcare/
课程评论:没有评论
课程名称:基于市场的方法寻找医疗价值 课程概述:随着新医疗技术的快速进入市场,这些改善生活并治愈疾病的创新方案为不同病症提供了救命的替代疗法。然而,这些新治疗方案的成本对医疗系统带来了更大的压力。通过本课程,学员将有机会全面操作和管理健康保险计划的各个方面,包括管理计划财务和制定福利设计。参与者将深入了解健康计划管理中所有运营细节是如何紧密结合在一起,并需要精确管理,以保持健康计划的可行性。课程最终将以制作适合发放给潜在健康计划成员的保障证书为目标,模拟真实运作的健康计划。 成功完成本课程的参与者将能够: 1. 通过分析各种内部和外部数据集,利用分析思维技能做出与健康计划管理有关的战略决策。 2. 制作重要的健康计划交付成果,如计划福利设计和保障证书。 3. 通过管理关键的健康计划财务职能(如医疗损失比例、资本充足性要求和一般基金余额)提升财务管理能力。 4. 通过管理健康计划成员的人口健康状况和慢性疾病,在人口层面制定健康政策。 5. 成功而战略性地引导健康计划应对医疗改革的各个方面。 6. 在小组项目中与团队成员共同发展领导能力和影响力。
New health technologies that improve life and cure diseases are entering the marketplace at a rapid pace. While these new cures provide life-saving alternatives across different diseases and medical conditions, their costs place increased pressure on the health system. Through this course, participants will have the unique opportunity to operate and manage all aspects of a health insurance plan, including yet not limited to, managing plan finances and establishing benefit designs. Participants will gain an appreciation for the intricacies of how all operational aspects of plan management fit together and must be managed with precision for the health plan to remain viable. As with a real, operating health plan, the course will culminate with the production of a Certificate of Coverage suitable for issue to prospective health plan members.Participants who successfully complete this course will be able to: 1. Utilize their analytical thinking skills through the analysis of various internal and external data sets in order to make strategic decisions pertaining to health plan management. 2. Produce significant health plan deliverables such as plan benefit designs and certificates of coverage. 3. Hone their financial management acuity though the management of key health plan financial functions such as medical loss ratios, capital adequacy requirements and general fund balances. 4. Develop member health policies at the population level by managing the population health status and chronic diseases of health plan members. 5. Strategically and successfully navigate the health plan through all aspects of healthcare reform. 6. Develop team leadership and influence skills with team members during the group project