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PHM Training Management
For
information, contact |
Delivery and Financing of US Managed Health
Care
An ideal self-study CD for CLE and CPD requirements
where appropriate. This CD includes HMO organizational
structures, supporting graphs and charts, and references for
continued study.
To order click
here
As originally presented in London at The Law
Society
Written by: Hank Kearney,
MHP, RHU
President, PHM International
Benefits: Advanced
understanding of the construct of US managed care.
Course: Targeted to
attendees with prior exposure to the workings and types of
managed care, this program concentrates on the unique aspect
of this line of cover. From network management, to why
claims administration is different from insurance,
attendees will gain a detailed look at managed care in the
US.
Course
Level: Advanced
Who Should
Attend: Anyone working in
private cover or anyone looking to gain insight of this
growing export from the USA.
Course
Outline
- Introduction
A. Governance
and Management Structure
- Why Managed Health Care is
Different From Insurance
A. Members vs.
Insureds
- Operational Issues
A.
Benefits
B. Underwriting
C. Rating
D. Claims
Administration
- Network Management
A.
Physicians
B. Hospitals
C. Ancillary &
Complimentary Providers
D. Accreditation
- Ethical Issues
A. Managed
Care as US Export: Impact on NHS and Private Cover in the
UK
$65 US per CD (approximately
£45), plus S&H.
To order
click here
For additional information contact us
at
info@phmintl.com
or
+1.772.388.6496 voice
USA
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