Health Care Delivery Models
Enhance your understanding of health care delivery models with this comprehensive one-credit course. Learn about various health coverage options in the U.S., including HMOs, PPOs, and POS plans. Explore how plan designs affect provider networks and patient access to care. Delve into telehealth services such as telemedicine and telepsychiatry, along with the challenges they present. Gain insight into specialty care models like Patient-Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs). This course also covers wellness programs, employee assistance programs, and ancillary benefits, providing valuable knowledge for navigating today’s health care landscape.
Topics Covered
- Sources of Health Coverage in the United States
- How Plan Design Impacts Provider Networks
- Telehealth Services
- Specialty Care Models
- Health Care Sometimes Delivered Outside of the Health Plan
Course Outline
Introduction
- Sources of Health Coverage in the United States
Estimated Time to Complete: 5 minutes
How Plan Design Impacts Provider Networks
- Accessing Care Through a Health Plan
- Health Maintenance Organization (HMO)
- Preferred Provider Organization (PPO)
- Point-of-Service (POS) Plan
- Plan Comparison
- Onsite and Near-Site Clinics
- Tiered Networks
- Challenges Associated With Tiered Networks
- Utilization Management and Utilization Review
Estimated Time to Complete: 20 minutes
Telehealth Services
- Telemedicine
- Telepsychiatry
- Challenges Associated With Telehealth Services
Estimated time to complete: 20 minutes
Specialty Care Models
- Specialty Care Models
- Patient-Centered Medical Homes (PCMHs)
- PCMH Functions
- Centers of Excellence
- Centers of Excellence and PCMHs
- Advantages of Centers of Excellence
- Accountable Care Organizations (ACOs)
- Types of ACOs Within Medicare
- Provider Participation in ACOs
- ACOs in the Private Sector
Estimated time to complete: 20 minutes
Health Care Sometimes Delivered Outside of the Health Plan
- Ancillary Benefits
- Workforce Wellness Programs
- Employee Assistance Programs (EAPs)
Estimated time to complete: 15 minutes
NOTE: The estimated time to complete each lesson is based on word count and assumes uninterrupted consumption of the course. Actual time to complete each lesson can vary widely based on familiarity with the topics and other factors. Time required to complete the course final exam is not counted in these estimates.
Course Applies To
Questions?
Contact us at (888) 334-3327, option 3 or [email protected].
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Self-Paced
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