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Overview of U.S. Health Care Payment and Policy
Course 1 of 6
Understand how Medicare, Medicaid, and private payers share responsibility for health care costs, and the financial impact on patients and families.
Medicare and Medicare Advantage: How they Work and the Impact on Care Delivery
What You’ll Learn
This course is focused on the population of Medicare beneficiaries and the benefits they receive—and do not receive—from this federal program. Learners will review the growth trend in Medicare Advantage (MA) and weigh the advantages and disadvantages that privatization of Medicare has introduced, both for beneficiaries and for providers.
Learning outcomes for this course include:
- Discuss the influence that Medicare coverage has on the ‘business’ of health care delivery in the U.S.
- Identify 3 differences between Medicare and Medicare Advantage
- Explain Medicare services and coverage, including what is not covered
- Characterize 2 areas of racial inequalities in Medicare Advantage and Dual Special Needs Plans
- Discuss 2 incentives driving private Medicare Advantage plans, and the consequences to patients, providers, and the U.S. health care system
What You’ll Earn
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Tools & Resources
When Advantage is Not An Advantage: Benefits and Limitations of Traditional Medicare vs. Managed Medicare
Summary of differences between Medicare and Medicare Advantage.
Medicare and Medicare Advantage: How they Work and the Impact on Care Delivery Course References
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MEMBERS ONLY
Course References
Addressing Serious Illness Care in Medicare Advantage
Recommendations to improve data transparency and quality measurement in Medicare Advantage (MA).
Kaiser Family Foundation Textbook on Health Policy
Kaiser Family Foundation "textbook" on health policy topics.
Course Directors
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Brynn Bowman, MPA
Chief Executive Officer, Center to Advance Palliative Care
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Helen M. Fernandez, MD, MPH
Professor of Geriatrics and Palliative Medicine, Medical Education and Internal Medicine
Gerald and … -
Diane E. Meier, MD, FACP, FAAHPM
Founder, Director Emerita and Strategic Medical Advisor, Center to Advance Palliative Care
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Allison Silvers, MBA
Chief Health Care Transformation Officer
Accreditations and Disclosures
Check back soon.
Course Faculty
Diane E. Meier, MD, FACP, FAAHPM. Founder, Director Emerita and Strategic Medical Advisor, Center to Advance Palliative Care Co-director, Patty and Jay Baker National Palliative Care Center Professor, Department of Geriatrics and Palliative Medicine Catherine Gaisman Professor of Medical Ethics, Icahn School of Medicine at Mount Sinai.
Allison Silvers, MBA. Director, Health Care Transformation, Center to Advance Palliative Care.
Stacie Sinclair, MPP. Associate Director, Policy and Care Transformation, Center to Advance Palliative Care.
Peer Reviewers
Karen Bullock, PhD, LICSW, APHSW-C. Ahearn Endowed Professor, Boston College School of Social Work.
Brittany Chambers, MPH, MCHES. Director, Health Equity and Special Initiatives, Center to Advance Palliative Care.
Philip Solomon, MD. Director, Geriatrics Education and Clinical Integration; Program Director, Geriatrics Fellowship; Division of Geriatrics and Palliative Medicine, Associate Professor, Zucker School of Medicine at Hofstra/Northwell.
Donna Stevens, MHA. Consultant, Center to Advance Palliative Care.
Contact information: For answers to frequently asked questions about CAPC courses and CEs, read the Online Course FAQ. For all other questions, please contact support.
New
Medicaid, Veterans Health, and Long-Term Services and Supports
Course 3 of 6
Learn how Medicaid and VA benefits support vulnerable patients and families needing palliative care, and who qualifies for these programs.
New
Fee-for-Service Payment and Quality Oversight
Course 4 of 6
Explore how fee-for-service payment works, its impact on quality, and strategies to optimize both revenue and performance under this model.