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 AHIP member rate for this course? Learn about becoming an Individual Member and sign up here!
