Welcome to the first Module, all about the fundamentals of the United States healthcare system and how to navigate it! We have one of the most complex healthcare systems because of the many different payer sources, regulations, and the involvement of both national and state policies.
Learning these key concepts and terms will help you navigate our loosely connected system. So without further delay, here’s your first lesson which will introduce you to this course and also to some important key concepts to lay some foundation into our levels of healthcare and more.
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Use the timeline below to assist in revisiting concepts from the video.
Overview
Video Play Time: 9:40 min
- Intro to this course and features to support your learning (0:00 – 1:28)
- Navigating Healthcare (1:28 – 3:24)
- Comprehend the role of policies in healthcare, from laws to employer regulations.
- Recognize policies’ impact on behavior, the environment, and the healthcare system as a whole.
- Use your knowledge to advocate for change and navigate the healthcare system confidently.
- Exploring Levels of Healthcare: (3:24 – 6:33)
- Discover the four categories of healthcare: primary, secondary, tertiary, and quaternary.
- Understand the diverse roles of professionals and services in diagnosing, treating, and preventing diseases.
- Recognize how service prices and provider pay impact healthcare costs and insurance coverage.
- Navigating the Continuum of Care: (6:33 – 9:12)
- Understand the continuum of care, which integrates different levels of care over time.
- Break down silos and improve communication between professionals for better patient outcomes.
- Emphasize the patient journey, addressing acute problems and ongoing medical needs
- Conclusion (9:12 – 9:40)
Amplify OT Resources
- How Health Insurance Impacts Occupational Therapy
- Podcast – Insurance and How it Impacts Our Plan of Care
This Lesson’s Handout
Responses
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This question is in regards to quiz. It mentions accessing health insurance through a state marketplace, how would I access that and is that available in every state? I currently have to use the federal marketplace to access insurance (age and student status) and didn’t realize that there may be options with my state.
Good question! Some states have their own marketplace but others just use the federal marketplace at healthcare.gov. So if you are using the federal marketplace that is probably what your state is using :) These are the states that have their own marketplace: https://www.healthcare.gov/marketplace-in-your-state/