Health Plan Design

Employee benefit plans are one of the biggest factors affecting the bottom line of every business, including those in the healthcare industry. Designing and implementing right-sized plans for employees can be a harrowing experience.  Plans that include not only compensation but also healthcare, retirement, vacation, holiday, maternity, and sick time benefits can be complex.

Course Overview

Presenter – Lawrence M. Becker
Director Strategic Partnerships, Alliances 
and Chairman, Plan Administration Committee 
Xerox Corporation

Health benefits are common in employment arrangements and have been around for many years.  In 1929, 15% of employees were covered by their employer’s health plan. By 2011 that number had grown to 60%.  But today, with the passage of the Affordable Care Act, employers have many decisions to make in what and how they offer benefits to their employees.  This course covers Health Plan Design from the perspective of the health insurer and plan sponsors, generally employers.  It will review how health plans came to be, what has affected their growth, what is causing a new direction today, and the effect of these new plans on employees, employers, and insurers.

Course Learning Objectives

Upon completion of this course you will be able to:

  • Understand the impact of new government regulations affecting health plans today
  • Understand the impact of different contracting relationships between health insurers, third party administrators (TPAs) and providers
  • Determine appropriate employee shared cost models inside of a well-constructed healthcare benefits plan

Time to complete this course is 28 minutes.

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