Health Care Reform: Pricing, Exchanges, Providers and Employers

Course Overview

Presenter: Mary van der Heijde, FSA, MAAA
Principal and Consulting Actuary
Presenter: Jordan Paulus, FSA, MAAA
Presenter: T.J. Gray, ASA, MAAA
Associate Actuary

Health care is undergoing major and important changes as major provisions of the Affordable Care Act (ACA) are rolled out in 2014. These changes will have major effects on individuals, employers, health plans, and health care providers. This course builds an understanding of the fundamentals before tackling the major implications of reform for each of those groups. This course is targeted to health care providers, business leaders, and other professionals who want to learn to navigate the challenges and opportunities of health care reform. The focus will be on addressing the key issues without getting lost in the details of the regulations. By the end of this course, participants will have the background knowledge to better face – and surmount – the coming challenges and opportunities of health care reform.

Time to view this video is 25 minutes.

Course Learning Objectives

Upon completion of this course the learner will be able to:

  • Understand how health care reform changes the landscape of the healthcare market, including the purpose and effects of the individual and employer insurance mandates, the state and federal exchanges, and Medicaid expansion.
  • Identify changes in the way health insurance products are being priced and managed starting 2014 and beyond.
  • Discuss how reform to both Medicaid and private health plans affect health care providers.
  • Identify and understand the changes facing both large and small employers in the post-reform landscape.

Time to complete this course is approximately 75 minutes.

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