Future Healthcare Payment Models

Start Date: 01/24/2021

Course Type: Common Course

Course Link: https://www.coursera.org/learn/healthcare-payment-models

About Course

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.

Course Syllabus

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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Course Introduction

Future Healthcare Payment Models In this course, you will understand critical issues facing healthcare organizations in the 21st century. We will focus on emerging technology-enabled payment options, their regulatory and payment complexities, their potential to disrupt core business models, and how these models may change over time. For example, we will look at the payment methods for outpatient procedures and services, such as in-network payment or contract payments, extramural service payments, and payment by debit or credit card. We will also focus on the evolution of electronic health record systems from payment card technology and payment-by-download (PBD) technology, and the integrations of electronic health record systems into billing and billing processes for outpatient, in-network, and extramural services. You will also cover the payment method for services performed up to a 3-day wait time, including debit/credit card, and payment methods for services performed up to a 90-day wait time, including debit/credit card. You will also cover the payment method for services performed after the 3-day wait time, including debit/credit card. You will also cover the payment method for services performed up to a 90-day wait time. In sum, you will get an in-depth understanding of current payment options, payment methods, and payment systems for outpatient, in-network, and extramural services, as well as billing information for services performed after the 3-day wait time. Upon completing this course, you will be able

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