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.
Future Healthcare Payment Models
Future Healthcare Payment Models
This course is part of Healthcare Trends for Business Professionals Specialization
Instructor: Rina Vertes
Sponsored by Louisiana Workforce Commission
5,122 already enrolled
Gain insight into a topic and learn the fundamentals.
4.5
(51 reviews)
Beginner level
No prior experience required
16 hours to complete
3 weeks at 5 hours a week
Flexible schedule
Learn at your own pace
What you'll learn
Identify the drivers and trends of healthcare spending from the perspective of various stakeholders.
Critically assess the impact of strategic and financial approaches that have been put in place by the ACA and the various modifications.
Evaluate how healthcare payment models currently work and the new direction that value-based payment is taking.
Identify how financial and non-financial metrics can be appropriately combined to improve a healthcare stakeholders’ value proposition.
Skills you'll gain
Details to know
Shareable certificate
Add to your LinkedIn profile
Assessments
11 assignments
Taught in English
See how employees at top companies are mastering in-demand skills
Build your subject-matter expertise
This course is part of the Healthcare Trends for Business Professionals Specialization
When you enroll in this course, you'll also be enrolled in this Specialization.
- Learn new concepts from industry experts
- Gain a foundational understanding of a subject or tool
- Develop job-relevant skills with hands-on projects
- Earn a shareable career certificate
Earn a career certificate
Add this credential to your LinkedIn profile, resume, or CV
Share it on social media and in your performance review
There are 4 modules in this course
This week's focus will be on understanding the various stakeholders in healthcare. We will review the "math" surrounding healthcare costs and how it can fluctuate. Healthcare drivers will be reviewed to identify trends. As you move through the weekly material, I encourage you to think about the impact that the drivers have on the delivery of the healthcare services.
What's included
13 videos1 reading3 assignments4 discussion prompts
This week we will describe the various elements which underline health insurance within the United States. For example, third party payment structures and risk pooling, to name a few. This week we will focus some time on the Affordable Care Act (ACA) which is a very complex piece of legislation. Special attention will be made on provisions of the ACA that impact insurance markets, financing, healthcare costs, and payment models.
What's included
12 videos1 reading3 assignments3 discussion prompts
This week will continue to "follow the money". We will focus much of our attention on the shortcomings of a Fee-for-Service payment model. Our attention will shift to alternative payment models that have been implemented, allowing for certain comparisons to be made. Lastly, we will review some results that have been achieved because of the new payment models. This week I will leave you by asking, If we know that the Fee-for-Service payment model is dysfunctional, why is it continuously used?
What's included
12 videos2 readings3 assignments3 discussion prompts
This week we shift our focus from reviewing current payment models and strategies to applying some of the models and concepts to "real-world" scenarios. We will use fictitious examples, as well as published articles to bring together all of the concepts. As with most things, there is not one single answer to solving the healthcare cost, quality, and value problems. I encourage you to think "outside of the box" and as always, "follow the money!"
What's included
8 videos2 readings2 assignments1 peer review3 discussion prompts
Instructor
Instructor ratings
4.4 (6 ratings)Offered by
Why people choose Coursera for their career
Felipe M.
Learner since 2018
"To be able to take courses at my own pace and rhythm has been an amazing experience. I can learn whenever it fits my schedule and mood."
Jennifer J.
Learner since 2020
"I directly applied the concepts and skills I learned from my courses to an exciting new project at work."
Larry W.
Learner since 2021
"When I need courses on topics that my university doesn't offer, Coursera is one of the best places to go."
Chaitanya A.
"Learning isn't just about being better at your job: it's so much more than that. Coursera allows me to learn without limits."
Learner reviews
4.5
51 reviews
- 5 stars
68.62%
- 4 stars
23.52%
- 3 stars
3.92%
- 2 stars
1.96%
- 1 star
1.96%
Showing 3 of 51
DA
5
Reviewed on Jun 16, 2023
I want to pursue PhD in Health Economics, so this course has enlightened me the more and help me to tackle some issues i will be facing.
OO
5
Reviewed on May 5, 2020
The energy the Professor brings into the course is amazing.
AC
4
Reviewed on Nov 3, 2020
It is a good course. you will get the idea of healthcare payment model.
Recommended if you're interested in Health
Banco Interamericano de Desarrollo
Northeastern University
École Polytechnique Fédérale de Lausanne
Coursera Project Network
Open new doors with Coursera Plus
Unlimited access to 10,000+ world-class courses, hands-on projects, and job-ready certificate programs - all included in your subscription
Advance your career with an online degree
Earn a degree from world-class universities - 100% online
Join over 3,400 global companies that choose Coursera for Business
Upskill your employees to excel in the digital economy