GH 301
- Provider Contracting: The candidate will understand how to evaluate the effectiveness of provider reimbursement methods from both a cost and quality viewpoint.
- Disease Management: The candidate will understand how to evaluate health care intervention programs.
- Risk Adjustment: The candidate will understand how to apply risk adjustment in actuarial work.
- Social Determinants of Health: The candidate will understand how to explain the determinants of health and their impact on health care costs and policy.
- Medical Data: The candidate will understand how to describe medical coding, sources of data, and data quality.
- Predictive Analytics: The candidate will understand how to apply the framework of predictive analytics to health care data and business applications.