Overview
Health care spending represents a substantial portion of our nation’s economy …and growing. With so much at stake, it’s essential to understand the role health insurance providers play in making health care better and more affordable. Fundamentals of Health Insurance, takes a comprehensive look at our industry’s business environment. Whether you’re new to health care or want to widen your scope, this online course can help you do your job even better.
This course is suitable for:
- Health insurance provider staff
- Medical directors
- Agents and brokers
- Case managers
- Technical business solutions advisors
Learning Outcomes
On completion of this course, you'll be able to:
- Get the big picture: understand the importance of the life and health insurance industries
- Develop a practical understanding of how health insurance works
- Pinpoint the differences between types of coverage, including medical expense, supplemental, long-term care, and disability
- Compare different types of health insurance provider organizations
- Define the needs met by health insurance providers
- Assess the advantages and disadvantages of flexible benefit plans
- Explore contract provisions and how individual and group plans are underwritten
- Learn how health insurance products are developed, marketed and sold
- Understand the role of reinsurance in promoting market stability and lower premiums
- Define relevant terms and key concepts
- Learn how to detect and prevent various health insurance fraud schemes
