
Welcome!!!
Slides can be downloaded in Lecture 5
Brief intro of the broad types of health insurance products.
Health plans will be focus for remainder of this course.
The 5 key elements of health plan design, that help you see and understand the whys behind each different design
Slides can be downloaded in Lecture 5
Who pays for the health plans is perhaps the most significant consideration in understanding health plans.
Learn the different types of service that health plans cover, and why these categories are important.
Provider networks are a primary way health insurers control utilization and cost. Learn the distinguishing features of the main types of networks.
Ways that health insurers manage provider networks
Benefit payments and cost sharing
Slides can be downloaded in Lecture 5
Drug formulary design is another key element of health plan design.
An illustrative comparison across different plan designs
Putting what we learnt to use!
Using different persona profiles to think through the elements of health insurance product that we just learnt.
US Health System series
View the complete course + others here ==> https://www.udemy.com/user/yidingjiang/
Learn what are decision trees in ML
View the complete course + others here ==> https://www.udemy.com/user/yidingjiang/
Health insurance claims data are a major source of health care data. As long as the the medical services are paid by health insurers, you will see the claims. This is a relative well structured and complete source, although clinical detail can be lacking at times.
View the complete course + others here ==> https://www.udemy.com/user/yidingjiang/
BACKGROUND
The US healthcare system spends over $4trillion per year. It is enormous and has many opportunities.
If you want to capture these opportunities, you have to be familiar with the key elements and understand why they are important.
ABOUT THIS SERIES
The US Health System is a series of courses that introduce the key elements of the US health system.
This is the first in the series, on Health Insurance Products:
Types of health insurance products
The key elements
Who pays: payor types
What’s covered: benefit categories
How to access care: provider networks
Benefit/Payment levels: cost sharing
Using different points of view
Through perspectives of different personas, see how these different elements are important in health insurance
The lectures are short, concise, practical. You will see only what you really need to know.
This course will save you hours of reading boring articles, government regulations only to have more questions than answers.
ABOUT ME
I've over 20 years of experience in the health care industry. I'm a fully qualified health actuary and have a MSc in Health Policy from the London School of Economics. My goal is to help you excel in the workplace.
So CLICK ON, and let me share with you what I wish someone had showed me 20 years ago!