Health Care Cost and Quality
This course equips participants with practical strategies to reduce health care costs and improve care quality. By understanding and utilizing tools like flexible spending accounts (FSAs), participants can manage expenses effectively. Key topics include balance billing, claims and appeals, provider price transparency, and leveraging preventive care, wellness programs, and disease management to lower costs. The course also explores FSA rules, including use-it-or-lose-it provisions, election changes, and compliance considerations under ERISA, HIPAA, and COBRA. With insights into general-purpose, limited-purpose, and dependent care FSAs, participants gain the knowledge to optimize their benefits and make informed, cost-effective health care decisions.
Topics Covered
- Health Insurance Basics
- Managing Health Care Cost and Quality
- Controlling Costs Through the Health Plan
- Controlling Costs by Maintaining Good Health
- Seeking Quality Health Care
- Assessing Health Care Options Based on Quality
Course Outline
Introduction
- Health Insurance Basics
- Managing Health Care Cost and Quality
Estimated Time to Complete: 10 minutes
Controlling Costs Through the Health Plan
- Factors Related to the Plan that Affect the Cost of Care
- Utilization Management
- Allowable Charges
- Balance Billing for Out-of-Network Care
- Changes to Balance Billing Starting On or After January 1, 2022
- Costs Not Covered by Health Plans
- Price Transparency
- Monitoring Claims
Estimated Time to Complete: 30 minutes
Controlling Costs by Maintaining Good Health
- Personal Factors That Affect the Cost of Care
- Preventive Care Often Covered by Plans
- Workforce Wellness Programs
- Disease Management Programs
- Precision Medicine
Estimated Time to Complete: 20 minutes
Seeking Quality Health Care
- Impact of High-Quality Health Care
- Defining Health Care Quality
- Barriers to Quality Health Care
- Approaches to Measure Quality of Health Care
Estimated Time to Complete: 20 minutes
Assessing Health Care Options Based on Quality
- Quality of a Health Plan
- Quality of a Doctor
- Quality of a Hospital
- State Report Cards
Estimated Time to Complete: 20 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].
Why Choose E-Learning?
Self-Paced
Navigate the course at a pace that fits your learning style.
Convenient
Learn on your schedule—without the inconvenience of time away from the office.
Expert-Created Content
Take a deep-dive into a topic with content developed by industry leaders.
Cost-Effective
Save when you choose affordably-priced training with no additional travel costs.