Future Healthcare Payment Models
Master healthcare payment systems, from fee-for-service to value-based care models, while exploring cost drivers and quality metrics in healthcare delivery.
Master healthcare payment systems, from fee-for-service to value-based care models, while exploring cost drivers and quality metrics in healthcare delivery.
This course cannot be purchased separately - to access the complete learning experience, graded assignments, and earn certificates, you'll need to enroll in the full Healthcare Trends for Business Professionals Specialization program. You can audit this specific course for free to explore the content, which includes access to course materials and lectures. This allows you to learn at your own pace without any financial commitment.
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What you'll learn
Identify healthcare spending drivers and trends from various stakeholder perspectives
Analyze the impact of ACA's strategic and financial approaches
Evaluate current and emerging value-based payment models
Combine financial and non-financial metrics to improve healthcare value propositions
Skills you'll gain
This course includes:
3.3 Hours PreRecorded video
11 quizzes
Access on Mobile, Tablet, Desktop
FullTime access
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There are 4 modules in this course
This comprehensive course examines healthcare cost drivers and various payment models within the healthcare system. It focuses on understanding the transition from fee-for-service to value-based care, analyzing healthcare spending trends, and exploring solutions for cost management. The curriculum covers insurance markets, payment reform strategies, and integrated care models, with special attention to the Affordable Care Act's impact on healthcare financing and delivery.
Current Healthcare Spend and Trend
Module 1 · 3 Hours to complete
I Thought we were done with this: Insurance Markets
Module 2 · 3 Hours to complete
Value-Based Payment Models
Module 3 · 4 Hours to complete
Evolving Integrated Models: Putting It All Together
Module 4 · 4 Hours to complete
Fee Structure
Instructor
Healthcare Actuary and Strategic Consultant with Leadership in Payment Reform
Rina Vertes, FSA, MAAA, brings nearly 30 years of experience in health insurance and healthcare strategy, working with insurance companies, providers, and healthcare vendors. As the former Chief Actuary of BCBSMA, she played a pivotal role in Massachusetts healthcare reform, co-leading the development of the Alternative Quality Contract, a model that laid the foundation for today's ACOs. She also served on the 2006 Special Commission to study insurance markets. Most recently, she was CFO of Minuteman Health, overseeing its launch in MA and NH. Currently, as President of Marjos Business Consulting, LLC, Vertes advises clients on managing risk and responding to CMS and private sector payment reforms, including ACOs and bundled payments. She also serves on the board of the Massachusetts Health Connector, appointed by Governor Charlie Baker.
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