GH 301

  • Provider Contracting and Reimbursement: Evaluate the effectiveness of provider reimbursement methods from both a cost and quality viewpoint.
  • Disease Management: Evaluate health care intervention programs.
  • Health Care Risk Adjustment: Apply risk adjustment in actuarial work.
  • Social Determinants of Health: Explain the determinants of health (SDOH) and their impact on health care costs and policy.
  • Medical Data: Describe medical coding, sources of data, and data quality.
  • Predictive Analytics: Apply the framework of predictive analytics to health care data and business applications.
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