This course will review the drivers of healthcare cost and solutions that have been proposed to address cost, quality and value of health care. Many point blame for high costs on payment models that pay healthcare providers for every service they provide to patients, essentially paying more for volume and service intensity. This is called a Fee for Service (FFS) payment model. Some solutions, arguably the more sustainable solutions, are the combined strategies of new payment models, care management, insurance plan designs, consumer engagement tools, and technology.
Using that information we will explore various situations, showcasing coordinated care and payment strategies that can be implemented to improve patient health and the cost of delivery of healthcare services.
By the end of this course, the learner should be able to:
1. Identify the drivers and trends of healthcare spending from the perspective of various stakeholders, including medical providers, insurers, government and private purchasers and payments
2. Critically assess the impact of strategic and financial approaches that have been put in place by the ACA and the various modifications.
3. Evaluate how healthcare payment models currently work and the new direction that value-based payment is taking.
4.Identify how financial and non-financial metrics can be appropriately combined to improve a healthcare stakeholders’ value proposition.
Status: Stakeholder Analysis
Stakeholder Analysis
Status: Value-Based Care
Value-Based Care
Beginner·Course·16 hours
Featured reviews
5.0
·Reviewed Apr 12, 2022
Excellent instructorGave the course 5 stars, however one thing I would point out is that some articles are not available without paid subscriptions to the source newspapers.
5.0
·Reviewed Dec 1, 2021
Good explanations & conversations. The first few sections were a bit simplistic but the later chapters were excellent. Glad I spent the time.
5.0
·Reviewed Jun 16, 2023
I want to pursue PhD in Health Economics, so this course has enlightened me the more and help me to tackle some issues i will be facing.
4.0
·Reviewed Apr 14, 2020
Good course. Give basic understanding of various payment model in a very clear and engaging manner
5.0
·Reviewed May 5, 2020
The energy the Professor brings into the course is amazing.
4.0
·Reviewed Nov 3, 2020
It is a good course. you will get the idea of healthcare payment model.
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S
Scot
5.0
·Reviewed Nov 22, 2022
Good set of non-technical (but not simplistic) readings to support the lectures. May be time to add some more current content -- for example a deeper dive on PBMs and the outsized role of drug costs in medical inflation.
P
PATRICK
5.0
·Reviewed Aug 7, 2020
Great course that teaches future health payment models into a a concise package. Smaller sound bites effectively teach lessons as understandable and memorable chunks. Thank you, Rina, for articulating the need to follow the money, and follow it in regards to healthcare stakeholders.
J
Jayanti
5.0
·Reviewed Apr 18, 2020
Prof Rina Vertes is an extremely structured orator who delivers complicated concepts as lucidly possible. The models explained in this course were completely new to me, but Prof Vertes helped them come to life with her animated lectures and captivating real life examples. Thanks Prof!
M
M
5.0
·Reviewed Apr 13, 2022
Excellent instructor
Gave the course 5 stars, however one thing I would point out is that some articles are not available without paid subscriptions to the source newspapers.
S
Sarah
5.0
·Reviewed Dec 2, 2021
Good explanations & conversations. The first few sections were a bit simplistic but the later chapters were excellent. Glad I spent the time.
D
Damilola
5.0
·Reviewed Jun 17, 2023
I want to pursue PhD in Health Economics, so this course has enlightened me the more and help me to tackle some issues i will be facing.
G
Gustavo
5.0
·Reviewed Apr 1, 2020
Curso prático de exemplos com bons textos de referências e apontam muito bem os desdobramentos financeiros
O
Olajide
5.0
·Reviewed May 6, 2020
The energy the Professor brings into the course is amazing.
V
Vidya
5.0
·Reviewed Jun 8, 2020
Nice course with great instructor
K
KAVITA
5.0
·Reviewed Oct 6, 2021
Highly recommended!
G
Gazim
5.0
·Reviewed Apr 7, 2025
все четко и кратко
C
Café
5.0
·Reviewed Jul 26, 2022
excellent
Q
QPH
5.0
·Reviewed Mar 9, 2026
good one
J
Johnnharley
5.0
·Reviewed Jun 30, 2025
amazing
N
Nishantha
5.0
·Reviewed Aug 2, 2025
great
M
Mona
5.0
·Reviewed Jun 8, 2020
GOOD
Ш
Шалыгина
5.0
·Reviewed Oct 23, 2024
.
P
Pranjul
4.0
·Reviewed Apr 15, 2020
Good course. Give basic understanding of various payment model in a very clear and engaging manner
A
Anukul
4.0
·Reviewed Nov 3, 2020
It is a good course. you will get the idea of healthcare payment model.