ACPEN: Claims Management Essentials: Cost-Saving Strategies for Employees and Employers
2.0 Credits
Member Price $89.00
Non-Member Price $119.00
Overview
Understand and master the various methods of medical claim reimbursements. This foundation is critical to understand health plan networks and how they function as the baseline for cost in fully insured and self-funded plans. This unit will expand on the previous unit's analysis of point solutions and how to build those into your plan design not only for the benefit if rate structures, but employees as well. The instructor will show you how to structure your medical plans to save the plan money by incentivizing the member through cost reduction programs.
Highlights
- Medical Claims
Prerequisites
None
Designed For
HR and Finance professionals
Objectives
- Medical Claim Reimbursement Continuum
- Reference Based Pricing
- Plan Design 101
- Learning to market your risk
- Point Solutions and how to use them
- Risk Management
Preparation
None
Non-Member Price $119.00
Member Price $89.00