Course Description

This course covers Part I of the Model Optimal Care framework: the non-technology strategies that any self-insured employer can implement to begin reducing waste immediately. You will study proven approaches to employee education and health literacy, care navigation support, comparison shopping and price transparency, employer tools and resources for plan management, and ancillary benefits optimization. These strategies form the human-driven prong of the MOC dual-pronged approach. They require minimal technology investment and can produce measurable results within the first year of implementation.

Learning Objectives

  • Design an employee education and health literacy program that addresses the knowledge gaps driving poor utilization.
  • Explain the behavioral economics principles that make healthcare education effective.
  • Develop a comparison shopping strategy using price transparency tools.
  • Identify the tools and resources available to employers for plan optimization.
  • Evaluate ancillary benefits for their impact on total plan cost and employee well-being.
  • Apply strategies for redirecting non-emergent ER visits to lower-cost care settings.

Estimated Completion Time: 16 hours

Course Content

LESSON 2.1: Educating Employees for Better Decisions
3 Topics
TOPIC 2.1.1: The Health Literacy Crisis
TOPIC 2.1.2: Understanding the Employee Knowledge Gap
TOPIC 2.1.3: Seven High-Impact Awareness Strategies
LESSON 2.2: Empowering Employees to Navigate Healthcare Services
2 Topics
TOPIC 2.2.1: What Empowerment Really Means
TOPIC 2.2.2: Key Strategies for Healthcare Navigation
LESSON 2.3: Comparison Shopping and Price Transparency
3 Topics
TOPIC 2.3.1: Why Prices Vary So Wildly
TOPIC 2.3.2: How Employers Can Promote Comparison Shopping
TOPIC 2.3.3: Transparency as Strategy and Compliance
LESSON 2.4: Tools, Resources, and Ancillary Benefits
2 Topics
TOPIC 2.4.1: Claims Data Analytics Platforms
TOPIC 2.4.2: Why Ancillary Benefits Matter
Final Quiz
COURSE 2 QUIZ: EMPLOYEE ENGAGEMENT AND NON-TECHNOLOGY STRATEGIES