Essentials of Commercial Health Insurance: Operational Business Management, Architecture, and Infrastructure
This two part course is a comprehensive knowledge guide about commercial healthcare payor organizations, their enterprise functions, and day-to-day business activities.
It also provides the participant reader the information required to understand the underlying theories, working processes, necessary infrastructure to understand health payor business capabilities including:
- key functional components of health insurance businesses and interrelationships,
- ongoing regulatory and competitive changes and their respective impact on organizational processes, systems architecture, and information assets,
- support for all members and customers from application to disenrollment,
- efficiently communicating with and managing provider needs and communications
- multiple, modernized technologies and partner maintenance activities
- typical individual and group enrollment,
- prototypical commercial payor system and process flows,
industry data collection and enrollment reporting methods, and more
Details
- Publication Date
- Jan 21, 2016
- Language
- English
- ISBN
- 9781329843776
- Category
- Business & Economics
- Copyright
- All Rights Reserved - Standard Copyright License
- Contributors
- By (author): Salus One Ed
Specifications
- Format