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Health Insurance Industry Explained--Health Insurance from Job (Employer-Sponsored) 2 года назад


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Health Insurance Industry Explained--Health Insurance from Job (Employer-Sponsored)

Health Insurance Industry Explained... Learn the Fundamentals of Employer-Sponsored Health Plans: A. The Healthcare System for Employers Has 4 Parts: 1) Employers, 2) Employees, 3) Providers, 4) Insurance Carriers Understand Their Inter-Relationships B. Health Insurance Has 2 Forms of Risk-Transfer for Employers: 1) Fully-Insured and 2) Self-Insured Understand Credibility and Specific/Aggregate Stop-Loss Coverage C. Network Discounts: 1) Repricing, 2) Contract Methodologies, 3) Medical Coding D. Administrative Services Only (ASO) and TPA Services: 1) BUCA Carriers, 2) Carrier-Owned TPAs, 3) Independent TPAs E. Health Insurance Captives: 1) Pooled Risk, 2) Adverse Selection, 3) Death Spiral AHealthcareZ is 200+ Healthcare Finance Educational Videos. 💥 BOOK: Check out Dr. Bricker’s Book 16 Lessons in the Business of Healing here: https://www.ahealthcarez.com/healthca... AHealthcareZ Viewers Include: Employee Benefits Professionals, HR, CFOs, Insurance Brokers, Benefits Consultants, Doctors and Nurses in Leadership Roles, Hospital and Health System Administrators, Health Insurance Carrier and PBM Professionals, Pharma and Med Device Professionals, Academic Professors and Students in Healthcare Administration and Public Health. 120,000+ Views Per Month Across All Platforms. Visit AHealthcareZ.com to Subscribe to the Healthcare Finance Video Newsletter.

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