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Do you (or someone on your team) need to hit the ground running? Or are you or some colleagues eager to take the next step? Looking to fill in some gaps in what you already know? Whatever your professional goals, Healthcare Management: An Introduction (AHM250) and Health Insurance 101: An Orientation are great places to start.
Healthcare Management: An Introduction (AHM250)
As part of AHIP's Academy for Healthcare Management (AHM), AHM250 gives you a solid understanding of the concepts behind health insurance management and its organizational structures, including:
- Basic concepts of health plans and provider organizations
- How to distinguish among HMOs, PPOs, POS, and managed indemnity
- Rating, underwriting, financing and claims administration
- Timely legislative and regulatory issues
- Ethical issues confronting health plans
Bonus achievement: Successful completion of AHM250 is the sole requirement to earn your Professional, Academy for Healthcare Management (PAHM®) designation.
Health Insurance 101: An Orientation
One of AHIP's cornerstone courses, Health Insurance 101 is a detailed review that can enhance your skills and take your expertise to the next level. This online course is structured in nine 30-minute modules provide a solid foundation in how the industry works, including:
- Enrollment, claims, and customer service
- Clinical quality and utilization management
- Pharmacy benefit management
- Pricing, sales, and marketing
- Federal/state regulations, compliance, and ethics
- Wellness and bending the cost curve
- Health insurance products and the customer experience
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