Course Description
This foundational course establishes the scope and scale of healthcare waste in the United States, with a specific focus on self-insured, employer-sponsored health plans. You will examine the categories of waste identified in landmark research, understand why employer plans are disproportionately vulnerable to waste and inefficiency, and learn the structural forces that perpetuate these problems. The course then introduces the Model Optimal Care framework as a systematic response, including its five core principles, its dual-pronged methodology, and the evidence supporting its effectiveness. By the end of this course, you will have a clear understanding of the problem, the framework for solving it, and the role employers must play in driving change.
Learning Objectives
- Quantify the estimated annual cost of U.S. healthcare waste using JAMA and other authoritative research.
- Identify the six categories of healthcare waste and explain how each affects employer-sponsored plans.
- Explain why self-insured employers are disproportionately vulnerable to waste and inefficiency.
- Describe the five core principles of the Model Optimal Care framework.
- Articulate the dual-pronged approach (non-technology and technology strategies) that defines the MOC methodology.
- Distinguish Model Optimal Care from Value-Based Care and explain its positioning as the next evolution.
Estimated Completion Time: 12 hours
