GBA CEBS This is a required course for the GBA designation. It may be used as an elective for the CEBS curriculum.

     

This course is under review. If you have already purchased study materials, you will need to complete your exam in 2017.

GBA courses and the Health Care Reform Act
President Obama signed the Health Care and Education Reconciliation Act into law on March 30, 2010.  This act along with its companion legislation, the Patient Protection and Affordable Care Act, makes sweeping changes to the nation's health care system. 

The purpose of the course is to provide a theoretical basis for understanding the practical issues in health plan design, management and administration. The course is designed to provide a framework for thinking about health care costs and financing in a comprehensive way that engenders well-managed group benefit programs, as well as providing a theoretical basis for understanding the practical issues in health plan design, management and administration. The material includes an overview of the structure, conduct and performance of the U.S. health care industry and alternative health care funding arrangements. The course also describes current and developing issues of relevance to health care financing.

   

Study Materials

  • Learning Guide (3rd edition), includes Practice Exam on CD (PC only), $195.00
  • Health Insurance, 2nd edition, Michael Morrisey, 2014, Health Administration Press. ISBN 978-1-56793-609-4, $110.00.

May meet CE Credit Requirements

Click here for ACE Credit Recommendation.

Enrichment Reading - click here

Assignment Topics

  1. Strategic Plan Design Amidst an Evolving Environment
  2. Underwriting and Rate Making
  3. Application of Risk Adjustment
  4. Effect of Selective Contracting
  5. Premium Price Sensitivity and Out-of-Network Health Insurance
  6. Quality of Care
  7. Quality Improvement and Cost Reduction through Accreditation
  8. Innovation and Challenge of the Patient-Centered Medical Home Model
  9. Health Insurance Exchanges
  10. Small Group Market
  11. Overview of Medicare
  12. Retiree Coverage