To use health coverage wisely and effectively, consumers must understand the various costs associated with their coverage as well as set expectations for quality of care. This course identifies methods for managing health care costs and quality that plan sponsors may share with their participants.
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.
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.
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).
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.
Assessing Health Care Options Based on Quality
Identifies important resources consumers can use to find information about quality care.