Overview and History of Managed Care | PSyn Courses

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Managed Care Courses--Medicare Core

Welcome

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Managed Care 101

Overview and History of Managed Care (4:50)
Acronyms and Definitions
Types of Insurance (12:55)
Pharmacy Networks and Pricing (12:20)
PBMs & Revenue Streams (4:47)
Inflation Reduction Act
Current Trends in Managed Care
Contracts
Intro to Managed Care Quiz

Medicare 101

Medicare History (2:05)
Medicare Benefits and Coverage (6:03)
Medicare Enrollment (5:20)
Medicare Supplement Plans (4:23)
Part D Coverage Stages (27:01)
Medicare Plan Finder (45:31)
Low Income Subsidy (LIS) (7:52)
Employer Group Waiver Plans (EGWP) (2:19)
Medicare 101 Quiz

Medicare Guidance

Medicare Guidance Overview (1:40)
Ch.9 Compliance Program (2:58)
Ch.6 Part D Drugs and Formulary Requirements (16:46)
Ch.7 Medication Therapy Management Program (MTMP) (3:09)
CDAG Guidance (21:56)
Annual Call Letter & Calendar
HPMS Memos
Role in Bid Season
Medicare Guidance Quiz

Star Ratings

Overview of Star Ratings (3:26)
Calculating Adherence PDC Rates (11:33)
HEDIS, Acumen, Display Measures (3:50)
Quality Improvement Strategies (8:41)
Star Ratings Quiz

Becoming a Medicare Insurance Agent

Overview (9:47)
Medicare Agent Resources
Contracting & Commissions (16:31)
Agent Prerequisite Course Overview (9:33)
Agent Quiz
Agent Marketing Guidelines (8:38)
Formulary Document Tutorial (17:46)
Pharmacy Directory Tuturial (9:46)
Introduction & Case Study #1 (62:26)

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Overview and History of Managed Care

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