In order for consumers to use their health care coverage wisely and effectively, it is necessary for them to understand the various costs associated with the coverage as well as to set expectations for quality. This course identifies the most important points that consumers should understand so they can make confident and value-based health care decisions.
Lesson 1: Health Care Costs
Identifies many of the different costs that a consumer may pay for health coverage and elements that will affect the price and value of the consumer's health plan. Topics include cost sharing, premiums, essential health benefits, insurance networks, balance billing, claims and plan affordability.
Lesson 2: Cost Variance Factors That Impact Health Care Costs
Describes the different reasons health care costs rise, including medical inflation, the consumer price index, utilization, new technology and drugs, cost shifting, benefit mandates and lifestyle choices. Also compares how costs may vary based on consumer choice.
Lesson 3: Methods to Manage Health Care Costs
Discusses the resources for and barriers to predicting actual health care costs, and identifies programs designed to manage health and reduce costs including tools available to consumers, such as the summary of benefits and coverage (SBC).
Lesson 4: Health Care Quality
Defines quality in health care, as well as barriers to quality and different approaches for measuring quality care. Also describes how consumers can use information about care and quality to select a health plan, doctor, hospital or type of treatment.
Lesson 5: Assessing Health Care Options Based on Quality
Identifies important resources consumers can use to find information about quality care.