Course Description
The Impact of Health Care Reform on Social Work: Quality vs. Quantity explores the implications of healthcare policy on social work practice. This course offers a comprehensive review of the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) within the context of medical and mental health service delivery. Among the issues explored are: health insurance reform, cost-containment and limitations. Participants will be able to evaluate the impact of ACA’s new integrated health care models, which mandate participating exchange programs to cover behavioral health care, expanded role of health homes in providing inpatient care to those diagnosed with chronic mental illness, and the shift to community-based mental health services. Practitioners will also learn how to decode common healthcare jargon into simplified terms such that they can help educate their clients and effectively advocate on their behalf.
Course Outline
Course Title: Impact of Health Care Reform on Social Work: Quality vs. Quantity
Instructor: Trélan Nicole Holder, MS, LCSW
Contact Hours/CEUs: 4-Hours
Format: Online Self-Study Course (Text-based Readings and Videos)
Process: Register and pay for course. Read content online.
Pass online post-test and print certificate of completion. Registrants
can access course for 2 years from date of registration.
Learning Objectives
- Identify the key concepts and regulations delineated by the ACA.
- Evaluate the financial stipulations that MHPAEA (2008) places on health insurance issuers/managed care providers within the domains of medical and behavioral health services.
- Define Health Outcomes.
- Define how Access-to-Healthcare is measured.
- Evaluate Quality of Care as it pertains to: competent care, medical negligence, and the capitation and reimbursement system.
- Identify Clinical Practice Guidelines.
- Identify the challenges faced by the underinsured as it pertains to: insurance deductibles and copayments, gaps in Medicare coverage, lack of coverage for long-term care.
- Articulate the terms and conditions of the Individual Mandate to obtain health insurance benefits.
Course Features
- Lectures 81
- Quizzes 19
- Duration Lifetime access
- Skill level All levels
- Language English
- Students 8
- Certificate Yes
- Assessments Yes
Curriculum
- 6 Sections
- 81 Lessons
- Lifetime
- Module 1: Course Overview and Pre-Test3
- Module 2: United States Health Policy- The Accidental SystemHealth Financing18
- 2.1United States Health Policy- The Accidental System5 Minutes
- 2.2US Health Policy: A Historical Review5 Minutes
- 2.3Table 15–1. Attempts to Legislate National Health Insurance5 Minutes
- 2.4Summary: Attempts to Legislate National Health Insurance5 Minutes
- 2.5Four Basic Modes of Health Financing5 Minutes
- 2.6Employer-Sponsored vs. Individual Private Insurance5 Minutes
- 2.7Government Financed Programs5 Minutes
- 2.8Who is Covered under Government Financed Programs?5 Minutes
- 2.9Medicare And Medicaid5 Minutes
- 2.10NYS 2016 INCOME AND RESOURCES LEVELS5 Minutes
- 2.11Government Financing5 Minutes
- 2.12Thoughts and Considerations10 Minutes2 Questions
- 2.13Heath Maintanence Organizations5 Minutes
- 2.14HMO Networks5 Minutes
- 2.15Managed Care5 Minutes
- 2.16Consider these themes as you watch the following video: Cost of Cancer Care5 Minutes
- 2.17Prior to ACA Implementation- Cost of Cancer Video5 Minutes
- 2.18Video Reflection: Questions10 Minutes3 Questions
- Module 3: The Patient Protection and Affordable Care Act (ACA)Reform, Transparency, Integrated Health Care Models, Medicaid Expansion25
- 3.1Key Features of The Patient Protection and Affordable Care Act5 Minutes
- 3.2The Patient Protection and Affordable Care Act5 Minutes
- 3.3Video Primer: The Affordable Care Act (ACA)5 Minutes
- 3.4Video: THE AFFORDABLE CARE ACT5 Minutes
- 3.5Preview of Health Care Reform5 Minutes
- 3.6ACA At A Glance5 Minutes
- 3.7Video Reflection: Cost of Cancer (Keith Blessington)10 Minutes1 Question
- 3.8Consolidated Omnibus Budget Reconciliation Act (COBRA)5 Minutes
- 3.9The Plight of The Underinsured5 Minutes
- 3.10The Underinsured5 Minutes
- 3.11Video Reflection: Cost of Cancer (Jamie Drzewicki)10 Minutes1 Question
- 3.12How does ACA Impact Young Adults?5 Minutes
- 3.13Young Adults5 Minutes
- 3.14Graph: Health Insurance Coverage Among Young Adults5 Minutes
- 3.15Graph Analysis: Health Insurance Coverage Among Young Adults10 Minutes1 Question
- 3.16Interpretation of Line Graph5 Minutes
- 3.17How Does ACA Impact A Person Who Does Not Qualify for An Employee-Sponsored Insurance Plan?5 Minutes
- 3.18Individual Mandate5 Minutes
- 3.19Uninsured Tax Penalties5 Minutes
- 3.20Average Medical Deductible, in Plans with Combined Medical and Prescription Drug Deductibles5 Minutes
- 3.21Medical and Prescription Deductibles5 Minutes
- 3.22Percent of Plans Where Medical Deductible is Combined with or Separate from the Prescription Drug Deductible5 Minutes
- 3.23Out-of-Pocket expenses varies across plans5 Minutes
- 3.24Video Reflection: Cost of Cancer (Tom Olszewski)10 Minutes2 Questions
- 3.25Module 3: Review Quiz10 Minutes3 Questions
- Module 4: Health Care Service DeliveryThe Landscape12
- 4.1Video Primer: Health Care Reform5 Minutes
- 4.2Video: Health Care Reform5 Minutes
- 4.3Video Reflection: Health Care Reform10 Minutes4 Questions
- 4.4ACA: Mental Health5 Minutes
- 4.5Mental Health Parity and Addiction Equity5 Minutes
- 4.6ACA Opportunities for Social Workers5 Minutes
- 4.7Care Coordination5 Minutes
- 4.8Accountable Care Organizations and Patient Navigator Programs5 Minutes
- 4.9American Health Benefit Exchange5 Minutes
- 4.10ACA: Implementation Timeline5 Minutes
- 4.11Current Status of State Medicaid Expansion Decisions (2016)5 Minutes
- 4.12Module 4: Review Quiz10 Minutes2 Questions
- Module 5: Transformation- Prevention and Health OutcomesHealth Reform, Prevention, Health Disparities18
- 5.1Transformation: Prevention and Health Outcomes5 Minutes
- 5.2Prevention5 Minutes
- 5.3ACA: Prevention and Wellness5 Minutes
- 5.4Table: Prevention Strategies5 Minutes
- 5.5Health Outcomes5 Minutes
- 5.6Social Determinants of Health5 Minutes
- 5.7Health Care Disparities: SES5 Minutes
- 5.8Bar Graph Analysis: Social Economic Status10 Minutes1 Question
- 5.9Consider: Racism And Discrimination5 Minutes
- 5.10Graph: Health Care Disparities- RACE & Ethnicity5 Minutes
- 5.11Bar Graph Analysis: Race & Ethnicity10 Minutes3 Questions
- 5.12Access To Care5 Minutes
- 5.13Health Insurance and Health Outcomes5 Minutes
- 5.14Graph: More People Continue to access Health Insurance (2016)5 Minutes
- 5.15Line Graph Analysis: Access to Health Insurance (2016)10 Minutes1 Question
- 5.16Graph: ACA EXCHANGE Qualified Health Policy (QHP) Enrollments- 20155 Minutes
- 5.17ACA EXCHANGE Qualified Health Policy (QHP) Enrollments (2014-2016)5 Minutes
- 5.18Exercise: Health Care vs. Health Status5 Minutes
- Module 6: Cost and Quality24
- 6.1Cost Equation5 Minutes
- 6.2Costs5 Minutes
- 6.3Cost Sharing5 Minutes
- 6.4ACA: Challenges5 Minutes
- 6.5Graph: Prescription Drug Cost Sharing5 Minutes
- 6.6Graph Analysis: Share of Plans by Type of Cost Sharing for Generic Prescriptions Plans with Combined Medical and Prescription Drug Deductible10 Minutes2 Questions
- 6.7Overall health care costs are rising at historically low rates5 Minutes
- 6.8Graph Analysis: Rising Health Costs, Then and Now10 Minutes1 Question
- 6.92020 Health Care Spending Pre-and-Post ACA5 Minutes
- 6.10Graph Analysis: 2020 Health Care Spending10 Minutes1 Question
- 6.11Budgetary Effects of the Insurance Coverage Provisions of the Affordable Care Act, 2015 to 20245 Minutes
- 6.12Graph Analysis: Budgetary Effects of Insurance Coverage Provisions of the ACA (2015-2024)10 Minutes1 Question
- 6.13State Individual Market Place And Medicaid Expansion- 20155 Minutes
- 6.14Triple AIM of Health Care Model5 Minutes
- 6.15Employee-based: Premium Subsidies for Employees5 Minutes
- 6.16Employer premiums also aren’t rising quickly5 Minutes
- 6.17Approaches to Efficiency5 Minutes
- 6.18Hybrid Funding5 Minutes
- 6.19Quality Care5 Minutes
- 6.20Moving Forward5 Minutes
- 6.21Resources5 Minutes
- 6.22References5 Minutes
- 6.23Post-Test: Impact of Health Care Reform on Social Work: Quality vs. Quantity10 Minutes10 Questions
- 6.24Course Survey: Impact of Health Care Reform on Social Work: Quality vs. Quantity10 Minutes10 Questions