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• The evolution of healthcare delivery in the US
• Basic concepts of health plans
• Identifying important legislative and regulatory issues in health plans.
• How to distinguish among HMOs, PP0s, POSs and management indemnity
• Checking rating, underwriting, financing, and claims administration in health insurance plan environments.
• Identifying the components of integrated delivery systems.
• Exploring healthcare systems management and health plan operations.
• Describing tools and strategies for medical management.
• The characteristics of health plans for specialty services
• Identifying ethical issues in health plans.

Reference: https://www.ahip.org/courses/healthcare-management-an-introduction-ahm250

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