Healthcare Management: An Introduction (AHM250)

Providing a comprehensive overview, this course will get you up to speed on the basic concepts of healthcare management and its various types of organizational structures. You will learn about major operational areas of health insurance plans as well as legislative, regulatory, and ethical issues that affect the industry.

What You’ll Learn:

  • The evolution of healthcare delivery in the United States
  • Basic concepts of health plans
  • How to distinguish among HMOs, PPOs, POSs, and managed indemnity
  • The characteristics of health plans for specialty services
  • Different types of provider organizations
  • The essential functions and activities within the operations areas of health plans
  • Concepts of rating, underwriting, financing, and claims administration in health plan environments
  • Important legislative and regulatory issues affecting the health plan industry
  • Principal ethical issues confronting health plans

Who Should take this Course:

  • Employees who work for health care providers or health insurance plans and want to acquire the educational background to pursue a management position in the industry
  • Case managers and medical directors who seek a broader administrative background
  • Educators at the college level who teach health care administration
  • Financial planners, and agents and brokers who specialize in life and health insurance
  • Medical management staff working in hospitals, health systems, HMOs, health insurance plans, and PPOs
  • Consumers and others in related fields who seek expertise in this area

Enrollment

$220 AHIP Members; $280 Non-members

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Earn a Designation

This course is good towards earning the following Academy for Healthcare Management designations:

Professional, Academy for Healthcare Management (PAHM®)
Fellow, Academy for Healthcare Management (FAHM®)
Managed Healthcare Professional (MHP)

This course is brought to you by the Academy for Healthcare Management (AHM). Sponsored by America’s Health Insurance Plans and the Blue Cross Blue Shield Association, AHM relies on both associations’ decades of experience providing continuing education for health insurance plan professionals. AHM serves more than 1,300 health insurance plans caring for and providing coverage to more than 200 million people.