Payer Industry Overview - Health Insurance Terms Explained
The US Healthcare industry is complex and massive! Each insurance plan contains a multitude of benefits and prescription tiers. In this video, we'll explain common characteristics and terms in the Payer Industry.
▶️ Watch our other videos: • Insurance Companies: How they make mo...
Key Sections
0:23 - What is a healthcare plan?
0:40 - The 5 Key Features of US Healthcare Plans - Plan Benefits
1:19 - What is the drug formulary?
1:47 - What are Out-Of-Pocket costs?
2:48 - Explaining the Provider Network (Managed & Non-Managed Care)
3:42 - The differences of EPO, PPO, HMO, and POS.
5:00 - What are insurance plan premiums?
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📚 This video serves as an excerpt from the Payer Industry Learning Primer, meticulously curated by the digital e-learning content provider, Primerli https://www.primerli.com/. The full module, comprising 10 bite-sized videos and quick quizzes, is tailored to empower professionals to grasp the industry intricacies in under an hour.
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