At a Glance
- Students have up to 180 days to complete course
- Counts toward FAHM® professional designation
- Flexible, self-paced online format
- Mobile-friendly
- Technical support available by phone or email
What You’ll Learn
- Factors shaping the health insurance industry, its formation, types of insurance, and structure
- How health insurance providers use reorganization, reengineering, and strategic planning to improve performance
- Legal issues faced by health insurance providers in a post-reform environment
- Legal issues surrounding ERISA, pharmacy benefits, and wellness
- Federal and state regulatory requirements that affect health insurance providers
- Role of the federal government as a purchaser of health care benefits
- Role of health insurance providers in providing services to both Medicare and Medicaid enrollees
- How fraud and abuse affect health care’s cost and quality
- How health insurance providers use organizational control systems to build internal structures that meet external demands for accountability
- Relevant terms, industry issues, case 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 AHIP member rate for this course? Learn about becoming an Individual Member and sign up here!
