Some stuff for setup before the actual course begins - just a heads up to make sure the invites with zoom details are on your calendar! you should have gotten an email with them when you signed up for the class

Introduction to US healthcare

• Demographics of the population

• Disease prevalence

• General overview of costs

• Themes around “what’s wrong” with US healthcare

Providers

• A general overview of providers (inpatient vs. outpatient, hospital vs ambulatory, etc.)

• How providers get paid and where they spend money

• Examples of different provider types

• Important rules around providers (Stark and Anti-Kickback laws, Corporate Practice of Medicine, etc.)

Revenue Cycle Management - how money moves

• What is a claim and what goes into it?

• What are the different code types (ICD-10, CPT, etc.)

• What is the role of a clearinghouse?

Payers

• The different kinds of payers (Medicare, Commercial, Medicaid, etc.)

• How they make money and where they spend money

• Important trends and aspects of each (e.g. risk adjustment)

• Example companies tackling each

Brokers

• What are the different kinds of brokers (PEOs, P&C shop, etc.)?

• What do brokers do?

• How do brokers make money?

Pharmacies

• What are the different kinds of pharmacies?

• What is a general overview of the pharmacy supply chain?

• What do pharmacists do?

• How do pharmacies make money?

PBMs

• What is the role of a PBM?

• How do PBMs make money?

• What are the different business lines in a PBM?

Electronic Medical Records

• A bit of history on how EHRs came to be

• What is required to be an EHR

• Dealing with EHRs (integrations, patient consent for medical record release, etc.)

• How EHRs are changing

Medical Devices

• The different classes of medical device

• 510(K) and PMA + other approval pathways to know

• How medical devices are paid for and purchased

• Current challenges and trends for medical devices

Pharma

• How pharmaceutical products have evolved over time

• Where pharma spends its money

• The different phases of bringing a drug to market

• Small molecules, biologics, generics, and biosimilars

• How commercialization works (sales force, marketing, etc.)

Clinical trials and CROs

• A short history on CROs

• What are clinical trials and what are the steps of running one

• The role CROs play

• Developments in the CRO Landscape

The basics of value-based care

• What is value-based care?

• What are the different components of a value-based care program (upside vs. downside risk, benchmarking, etc.)?

• What are some example programs in value-based care?

• What are practical realities and challenges of implementing value-based care

International Comparisons

• How to think about the different levers and tradeoffs to pull when building a health system

• Overviews of some other countries healthcare systems (Singapore, Germany, India, UK, Canada)

• How does the US compare in spend and outcomes

Healthcare Trends and Conclusion

• Why today is a good time to start a business

• Some areas that are up and coming

• Areas I'm investing in

Pop champagne

• We're done! Grab some bubbly, you're a master of the basics of healthcare

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