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CM 405

CASE MANAGEMENT & THE NEW HEALTH CARE LAW

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COURSE INFORMATION

This comprehensive CE course provides an in depth look at the new health care law.  It is designed to give case managers a greater awareness of their role during a time when health care in America is changing. Students of this course will be able to verbalize changes to Medicare, Medicaid and the private insurance market as it relates to the government’s initiatives to provide health care to nearly every American.

Upon successful completion of this course students will be able to interpret the new health care law and state the time lines for implementing these changes. Students are encouraged to continue their learning beyond this course by visiting the federal government’s web site and the web site of their individual state.  Students are encouraged to monitor the status of the law as it is implemented over the next few years.  Upon successful completion of this course, students are awarded 25 contact hours of continuing education credits. Course Code: CM 405.

This course is particularly designed for those who are seeking continue education units (CEs) for case management recertification.

Instructor/Course Author:  Wanda Ali-Matlock, MA, BS, RN, FAACM

Link to: Resume

Email:wanda.alimatlock@yahoo.com

TIME FRAME:You are allotted two years from the date of enrollment, to complete this course. There are no set time-frames, other than the two year allotted time. If you do not complete the course within the two-year time-frame, you will be removed from the course and an "incomplete" will be recorded for you in our records. Also, if you would like to complete the course after this two-year expiration time, you would need to register and pay the course tuition fee again.

Textbook: There is one required textbook for this course:

Landmark.  The Inside Story of America’s New Health-Care Law and What It Means for Us All.  The Staff of The Washington Post. 2010. ISBN # 978-1-58648-934-2.

AIHCP Online Bookstore: AIHCP provides an online bookstore stocked with all of the required textbooks, and/or materials required for its CE courses. To purchase this book online, click the access store link, go to the table of categories, right upper hand corner, and click on Case Management. Access AIHCP Store: click here

GRADING: You must achieve a passing score of at least 70% to complete this course and receive the 25 hours of awarded continuing education credit. There are no letter grades assigned. You will receive notice of your total % score. Those who score below the minimum of 70% will be contacted by the American Academy of Case Management and options for completing additional course work to achieve a passing score, will be presented.

 

BOARD APPROVALS: AIHCP is an approved provider of continuing education by the Florida Board of Nursing and the District of Columbia Board of Nursing. CE Provider # 50-11975. The American Institute of Health Care Professionals, Inc. is a licensed Continuing Education Provider in the State of California, Board of Registered Nursing, Provider # CEP 15595. Access information

Online Classroom Resouces and Tools

* Message Boards: each specialty program has an area to "post" on the message board. Students may post messages at anytime. Posting allows students to converse with those in the same specialty practice and to discuss issues/course content etc. Instructions for posting are provided in the online classrooms.

* Chat Rooms: each specialty has it's own unique "chat room." Inside of the classroom there is a schedule for "chat time" with students in your specific specialty practice. Participating in "chats" is voluntary. The chat sessions are used as means for students to come together and discuss course content or anything related to the courses and/or certification specialty.

* Examination Access: there is link to take you right to the online examination program where you can print out your examination and work with it. All examinations are formatted as "open book" tests. When you are ready, you can access the exam program at anytime and click in your responses to the questions. Full information is provided in the online classrooms.

* Student Resource Center: there is a link for access to a web page "Student Resource Center." The Resource Center provides for easy access to all of our policies/procedures and additional information regarding applying for certification. We also have many links to many outside reference sites, such as online libraries that you may freely access.

* Online Evaluation: there is a link in the classroom where you may access the course evaluation. All students completing a course, must, without exception, complete the course evaluation.

* Faculty Access Information: you will have access to your instructor's online resume/biography, as well as your instructor's specific contact information.

* Additional Learning Materials: some faculty have prepared additional "readings" and /or brief lecture notes to enhance your experience. All of these are available in the online classrooms.

 

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COURSE OBJECTIVES:

Upon completion of this course, you will be able to:

  1. Describe the government’s visions of health care for all citizens dating back to the early 20th century.
  2. Analyze the actions of the current government which lead to the passage of the new health care law.
  3. Articulate the timelines for implementing the major provisions of the health care law.
  4. Describe changes to Medicare Part D benefit.
  5. Relate payment changes to Medicare Advantage Health Plans.
  6. Discuss the expansion of Medicaid Benefits.
  7. Identify several key incentives in the health care law which emphasizes and promote quality of care.
  8. List several preventive care services and health screenings plans will be required to cover.
  9. Define an American Health Benefit Exchange and the rules of the “exchange.”
  10.  Define “subsidies” as it relates to the new health care law.
  11. Explain “premium credits” and their usage.
  12.  Compare the four different tiers of coverage available through the exchange.
  13. Identify what “the individual mandate” is and who is exempted from the mandate.
  14. Discuss changes to COBRA under the new health care law.
  15. Evaluate your role as case manger or health care provider in facilitating care along the continuum.

Course content

  1. Health care reform is not new.
  2. The government’s plan to provide health care to nearly every American.
  3. Immediate changes to our health care begin in 2010.
  4. Health care changes beyond 2010.
  5. Medicare and Medicaid benefits expansion.
  6. Private insurance and employer sponsored health plans.
  7. Funding for Medicare Advantage.
  8. Preventive care and health care screenings.
  9. Purchasing insurance through a health care exchange.
  10. Mandatory Health coverage.
  11. Funding for COBRA.
  12. Incentives to improve quality of care delivery

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