University of Houston - Value-Based Care: Reimbursement Models
- Offered byCoursera
Value-Based Care: Reimbursement Models at Coursera Overview
Duration | 5 hours |
Start from | Start Now |
Total fee | Free |
Mode of learning | Online |
Difficulty level | Beginner |
Official Website | Explore Free Course  |
Credential | Certificate |
Value-Based Care: Reimbursement Models at Coursera Highlights
- Shareable Certificate Earn a Certificate upon completion
- 100% online Start instantly and learn at your own schedule.
- Course 4 of 7 in the Value-Based Care Specialization
- Flexible deadlines Reset deadlines in accordance to your schedule.
- Beginner Level Beginning course
- Approx. 5 hours to complete
- English Subtitles: English
Value-Based Care: Reimbursement Models at Coursera Course details
- COURSE 4 of 7. This course is designed to help you build high-level knowledge of the current medical coding and payment mechanisms of most U.S. healthcare services, referred to as fee-for-service. You will explore why the fee-for-service model has contributed to higher costs in the U.S. healthcare system without clearly improving health outcomes. You will examine the importance of coding to reflect chronic conditions and other diagnoses accurately and how value-based care and payments utilize these measures and data. As you learn about a model to replace fee-for-service, you?ll encounter a range of payment options considered to be value-based that utilize a framework from the Health Care Payment Learning and Action Network (HCP-LAN). To build on those options, you will learn how risk-adjustment, quality scores, and patient satisfaction measures are critical parts of value-based care and payment contracts. In the summative assignment, you will demonstrate your knowledge by comparing fee-for-service and value-based contracts, using specific examples to explain and justify the importance of documentation and coding, and identifying ways that risk-adjustment and patient satisfaction are incorporated into value-based care contracts.
Value-Based Care: Reimbursement Models at Coursera Curriculum
From Fee-For-Service to Value-Based Payments
If this is your first VBC course, please watch our Welcome.
How This Course Works
Level Set
Current and Historical Reimbursement Models
CPT (Current Procedural Terminology) Codes
ICD (International Classification of Disease) Codes
Fee-For-Service: Volume Not Value
Population Costs and Value: Think Like an Insurance Company
Moving to Value
Examples of Current Value-Based Arrangements in Traditional Medicare
Explore the Optional Resources for Module 1
References for Module 1
Module 1 Quiz
Quality and Risk Adjustment in Value-Based Payments
The History and Purpose of Risk Adjustment
The Role of Risk Adjustment in Value-Based Care and Payment Models
Medicare Risk Adjustment (MRA) Payment Model
Risk Adjustment Is a Collaborative Effort
Measuring and Paying for Quality
Medicare Star Rating Program Framework
Consumer Assessment of Healthcare Providers and Systems
HEDIS
Patient Safety Measures
Comprehensive Population-Based Payment Models from HCP-LAN
A Value-Based Payment Spectrum
Explore the Optional Resources for Module 2
Module 2 Quiz
Course Project: Making This My Own
Value-Based Care: Reimbursement Models at Coursera Admission Process
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