Course Summary
This course provides an introduction to the healthcare industry, including its structure, financing, and delivery systems. Students will gain an understanding of the key stakeholders in the healthcare system and the challenges they face.Key Learning Points
- Learn about the structure, financing, and delivery of healthcare systems.
- Understand the role of stakeholders in the healthcare industry.
- Explore the challenges facing the healthcare industry and potential solutions.
Job Positions & Salaries of people who have taken this course might have
- USA: $104,280
- India: ₹1,390,000
- Spain: €54,000
- USA: $104,280
- India: ₹1,390,000
- Spain: €54,000
- USA: $83,610
- India: ₹1,000,000
- Spain: €39,000
- USA: $104,280
- India: ₹1,390,000
- Spain: €54,000
- USA: $83,610
- India: ₹1,000,000
- Spain: €39,000
- USA: $65,000
- India: ₹750,000
- Spain: €30,000
Related Topics for further study
Learning Outcomes
- Understand the structure and financing of healthcare systems
- Identify key stakeholders in the healthcare industry and their roles
- Develop potential solutions to challenges facing the healthcare industry
Prerequisites or good to have knowledge before taking this course
- None
- Basic understanding of healthcare systems
Course Difficulty Level
BeginnerCourse Format
- Online
- Self-paced
Similar Courses
- Healthcare IT Foundations
- Healthcare Innovation and Entrepreneurship
- Population Health: A Primer
Related Education Paths
Related Books
Description
Solving the problems and challenges within the U.S. healthcare system requires a deep understanding of how the system works. Successful solutions and strategies must take into account the realities of the current system.
Knowledge
- The major challenges of the U.S.healthcare system
- Issues you may encounter in efforts to improve healthcare delivery and the healthcare system
- Who the key stakeholders are in the U.S. healthcare system
Outline
- Overview of Health Care Systems and Key Challenges They Face
- Introduction
- A Simple Interaction Between Providers and Patients
- The Problem of Risk
- Solving the Problem of Risk: Risk Pooling
- Insurance and Intermediaries for Risk Pooling
- Beyond Patients, Providers, and Intermediaries: Other Players in the Health Care System
- Overview of the Types and Roles of Intermediaries
- Overview of the Types and Roles of Providers
- Providers and Levels of Care
- The Challenge of Rising Health Care Costs
- The Challenges of Quality and Access
- Lessons for AI and Data
- Study Guide Module 1
- Reflection Exercise
- Reflection Exercise
- Reflection Execise
- Knowledge Check
- Physicians, Physician Practices, and Physician Payment
- Characteristics of Physician Practices
- Physicians, Intermediaries, and Networks
- Fee for Service Payment
- Procedure Codes and Diagnosis Codes
- The Medicare Fee Schedule
- Capitation Payment Systems: Overview and Structure
- Capitation Payment Systems: Scope of Capitation
- Episode-Based Payment Systems and Salary Systems
- Risk Shifting in Physician Payment and Multi-Layered Physician Payment Arrangements
- Incentives Created by Physician Payments
- Lessons for AI and Data
- Wrap Up
- Study Guide Module 2
- Reflection Exercise
- Reflection Exercise
- Knowledge Check
- Hospitals, Other Provider Organizations, and Related Payment Systems
- Basic Operations and Characteristics of Hospitals
- How Hospitals Relate to Physicians and Intermediaries
- Hospital Payment Methods: Charge Masters/FFS and Per Diem
- Hospital Payment Methods: DRGs
- Hospital Payment Methods: Global Budgets
- Hospital Payment Topics: Payments for Inpatient vs Outpatient Services, Hospital vs Physician Payments; Charges and Payments
- Risk and Incentives in Hospital Payment
- Independent Facilities - Structure and Payment
- Health Care Systems and Larger Provider Organizations
- Pay for Performance
- EMRs, EHRs, and PHRs
- Providers, Provider Incentives, Data, and Tools
- Wrap Up
- Study Guide Module 3
- Reflection Exercise
- Reflection Exercise
- Reflection Exercise
- Knowledge Check
- Intermediaries, Health Insurance Plans, and Health Care Financing
- Intermediaries and their Goals
- Intermediaries and the Broad Challenges Facing Health Care Systems
- Networks and Selective Contracting
- Provider Payment Methods and Levels
- Patient Cost Sharing
- Utilization Review, Gatekeepes, and Other Methods of Directly Influencing Care
- Coverage Decisions
- Combinations and Tradeoffs
- Three Stereotypical Plan Designs: "Traditional," HMO, and PPO
- Some More Recent Trends in Plan Design
- Public and Private Plans (and Employer-Provided Private Insurance in the U.S.)
- The U.S. Medicare Program
- The U.S. Medicaid Program
- Intermediaries: Lessons for Innovators
- Wrap Up
- Study Guide Module 4
- Reflection Exericse
- Reflection Exercise
- Knowledge Check
- Health Care Products and Prescription Drugs, and Quality Measurement and Improvement
- Health care products, approvals, and prescription drugs
- Prescription Drug Approval Processes
- Patents, Branded Drugs, and Generic Drugs
- Patients, Insurance, Formularies, and Prescription Drugs
- Intermediaries, Pharmacy Benefit Managers, Drug Prices, and Rebates
- Products and Prescription Drugs Wrap Up - Data and Opportunities for Innovation
- Quality of Care Overview and Key Organizing Concepts
- Overview, and Structural Quality Measures
- Process Quality Measures
- Outcome Quality Measures and Satisfaction Measures
- Overview of Some Approaches to Improving Quality
- Innovation and Data in Quality Improvement
- Wrap Up
- Study Guide Module 5
- Reflection Exercise
- Reflection Exercise
- Knowledge Check
- Ethics
- Overview of AI applications in delivery of health care services and ethical issues
- Ethical frameworks for health care and for AI
- AI and incentives in health care delivery and payment structures
- More examples of AI and incentives in health care delivery and payment structures
- Exercise Reading
- Study Guide Module 6
- Reflection Exercise
- Reflection Exercise
- Course Wrap Up
- Course Summary
- Final Assessment Note
- Full Study Guide
- Final Assessment
Summary of User Reviews
This course on Coursera provides an introduction to healthcare with insightful and engaging content. It has received positive reviews for its comprehensive approach to the subject and the instructor's ability to simplify complex concepts. Many users found the course to be informative and thought-provoking.Key Aspect Users Liked About This Course
engaging and insightful contentPros from User Reviews
- Comprehensive approach to healthcare
- Instructor simplifies complex concepts
- Informative and thought-provoking content
- Accessible for beginners
- Well-structured course material
Cons from User Reviews
- Requires a significant time commitment
- Lacks practical application
- Some content may be too basic for advanced learners
- Limited interaction with instructor and peers
- Assessments may be challenging for some
Nigam Shah
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