Participants will review the Population Health Alliance Framework and will learn how to compare the program(s) being offered; assess the impact of a Population Health program; and define metrics used to measure program results.
Stop Loss: Finding and Monitoring the Right Coverage
This module provides a background on stop loss coverage, looks at contract types and markets, reviews underwriting principles and final underwriting processes, and explores the administrative requirements that stop loss insurance presents.
Look at the employer-led revolution that is changing the landscape of health care plan design. Explore alternative payment models (APMs), including direct contracts, and provides guidance on setting fair prices and obtaining ROI, as well as engagement and communication strategies.
This module examines the differences between fully insured and self-funded plans; stop loss and why it’s important in a self-funded plan; how self funding gives an employer more control over its health spend; and the role of a third-party administrator.