At a Glance
- Students have up to 180 days to complete course
- Counts toward PAHM® and FAHM® professional designations
- Flexible, self-paced online format
- Mobile-friendly
- Technical support available by phone or email
What You’ll Learn
- Evolution of health care delivery and financing in the United States, from pre-paid plans to ACOs
- Basic concepts of health insurance provider organizations
- Differences between HMOs, PPOs, POSs, and managed indemnity
- HSAs’ and HRAs’ roles in today’s consumer-centric environment
- Different types of health insurance provider organizations
- Importance of network structure and management in delivering quality healthcare
- Interplay of information technology with essential functions of health insurance provider operations
- Concepts of rating, underwriting, and claims administration in health insurance provider environments
- Legislative and regulatory issues affecting the health insurance industry, including the Affordable Care Act (ACA) and the 21st Century Cures Act
- Role of government-sponsored programs, including Medicare and Medicaid, in providing coverage to large segments of the population
- Relevant terms, industry issues, care scenarios, and concepts
Who Should Take This Course
- Agents and brokers
- Case managers
- Financial planners
- Health insurance provider staff
- Medical directors
- Medical management staff
For even greater ROI, contact our experts at TrainingSolutions@ahip.org or call the Support Team at 866.234.6909. We can create a custom blend of courses, test prep classes, and group sessions that make the most sense for you and your budget.
Interested in getting the É«¿Ø´«Ã½ member rate for this course? Learn about becoming an Individual Member and sign up here!