Healthcare Finance Training Session: Medical Coding, Insurance Negotiation, Hospital Revenue, PBMs

Healthcare Finance Training Session: Fundamentals of Healthcare Finance
In this training you will learn: 1) basics of medical coding, 2) how insurance network discounts are negotiated, 3) hospital strategies to increase revenue and 4) how PBM rebates and spread pricing work.

[@sanatan_yogi_org]

Your KZbin content on healthcare finance is top-notch!

[@ahealthcarez]

Thank you for your feedback.

[@rufussweeneymd]

It’s a real public service you’re doing. Such valuable information. Keep up the good work!

[@ahealthcarez]

Thank you for watching.

[@Kanmani33]

Thank you for all the great information.. May I pls request you to make some videos on Provider network, credentialing and Provider groups contract negotiations with health insurance companies. Would love to hear your views in these topics.

[@ahealthcarez]

Thank you for watching and for your suggestion.

[@humzaahmed7975]

Thank you for the video, I agree with above

[@tashanabrown5089]

THANK YOU FOR SPEAKING ON AMERICAN GREED DRIVING UP HEALTHCARE COSTS!

[@ahealthcarez]

Thank you for watching.

[@karthikmurali1004]

Thanks for your videos but am staying in india need to do CFO course in hospital management look forward your support on videos related and any ppt..

[@c7c7c78]

This is fantastic content sir. So easy to understand when you take time to break it down

[@ahealthcarez]

Thank you for watching and for your feedback.

[@AlexandraEby-z6o]

I'd be really interested in a full video on what policy proposals are out right now you think best address the misaligned incentives, mark ups, and anticompetitiveness. Let me know if you are planning something like that!

[@Lizeth9.9]

Dr you are amazingggg! Love the way you explain so easily! Thanksssss a million 👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻

[@ahealthcarez]

You are welcome. Thank you for watching.

[@johnsiminerio9627]

You’re doing yoeman’s work. Excellent stuff!

[@ahealthcarez]

Thank you for your feedback.

[@rufussweeneymd]

Question about carrier negotiation with hospitals: do these same dynamics exist for self-funded employer “managers”, like Medica? They support Mayo Clinic’s self-funded plan, and they’re the reason Mayo is being sued by their employees.

[@mksnxt2000]

Thanks a lot for the awesome explanations! I have one question: From my understanding PBMs are owned by insurance companies. In a way, it looks like hedging. So, while an insurance company may lose money on a prescription, the PBM makes up for it through rebates & spread. But does the profit margin made by the PBM generally exceed the loss incurred by the insurance company on a transaction level? If it doesn't, then insurance companies will profit from frequent usage of medicines only when the deductible is being utilised right?

[@ahealthcarez]

Yes. AND the insurance company does not take risk on their self-funded commercial insurance employer clients… so no downside to them on high Rx costs and high PBM profits.

[@mksnxt2000]

@@ahealthcarez Understood, thanks!

[@mksnxt2000]

I have a few questions specifically for finance in Critical access hospitals that might not be relevant on this thread. Can I reach out to you with these questions through email or any other mode that you'd suggest?

[@sbsalter]

have you ever considered an ordered catalogue? I use your materials for my Health care strategic costing master class.

[@ahealthcarez]

Thank you for the suggestion and for using the videos!!

[@jeremyhuynh9758]

These are awesome!! When will see content on TikTok?

[@ahealthcarez]

🤣🤣 No time soon. Thank you for watching!!

[@punkyM637]

👍👍👍

[@ahealthcarez]

Thank you for watching.

[@tripout33]

😊😊😊😊 😊

[@ahealthcarez]

Thank you for your emojis.

[@dougphillips7339nwnwn]

This is wonderful! Thank you Doctor!

[@ahealthcarez]

Thank you for watching and for your feedback.