Managed Care Institute Certification Programs and Training Courses

Managed Care Training Courses through the Healthcare Business Institute are a great way to boost your professional competency and validate your skills.

Our training courses range from introductory level courses through advanced concepts not covered by other organizations and associations.  

Managed Care Certifications

Certified Managed Care Analyst ("CMCA") designation through the Healthcare Business Institute validates your professional skills and knowledge. It signifies to the healthcare industry that you understand the fundamentals of managed care organizational structure, payment models and methodologies, outcomes-based pay and incentive contracting, cost-sharing mechanisms, coordination of benefits, and the accrediting and regulating authorities involved in various third-party payment schemes.

Certified Managed Care Contractor ("CMCC") designation through the Healthcare Business Institute validates your professional skills and knowledge about contract negotiation. It signifies to the healthcare industry that you understand the nuances of managed care and other third-party payer agreements including: HMO, PPO, EPO, TPA, ASO, Direct with Employer, Prison Health, Travel & Accident Assistance Insurance, Workers Comp, Motor Vehicle Insurance, Third-party Liability and Attorney Liens, Direct Contracting with Municipality, County and State Health Benefit Plans, Medicare Advantage Plans, Managed Medicaid Plans, Association and Healthcare Purchasing Coalition plan contracts and "All Payer" Agreements.  This advanced level certification covers fee-for-service, capitation, outcomes based risk and incentive contracting, and commercial insurer bundled case rate negotiations. This designation indicates to the industry that you are competent to negotiate on behalf of both economically integrated and non-risk sharing IPAs, PHOs, MSOs and ACOs.   

In addition to your certification, must have the core knowledge of the "product" that you are negotiating (hospital inpatient, outpatient, ASC, physician/dental or psychiatric services, telehealth, diagnostic imaging, laboratory, pharma, DME, home care services, orthotics, prosthetics, medical devices, etc.)

 

 

 

 

Additional information

Registration for our live events includes the course materials (handouts and supplements) on a USB, hot breakfast each morning, lunch each day, refreshment breaks.  A completion certificate is sent to participants who attend the entire course (no late arrivals or early departures).  Usually, most professional associations and societies accept this certificate and a copy of the course syllabus and learning objectives for continuing professional education credit. Please inquire with your association or society in advance of registration if this is a concern for you.

Advance registrations are available online or by telephone. Payment is by check or credit card, in advance. On rare occasions, we accept walk-on registrations but usually registration is closed the Friday immediately before an event due to strict capacity controls.

Hotel information:

We have reserved a number of rooms at a special  Managed Care Institute rate at the hotels where the seminars are being held. Rooms are available on a first-come, first-served basis until the stated deadline. Reservations must be made by calling the reservations numbers provided and presenting a pre-assigned code or registering via a provided link that will give you the group seminar rate.

Your reservations in the event hotels allow us to provide Managed Care Institute educational programs at the lowest possible costs at the highest convenience for you. Please call the hotel directly and mention The Managed Care Institute or Healthcare Business Institute to ensure your preferred rate. You are responsible for making your own hotel and travel reservations, including changes and cancellations. 

Cancellations

  • If you must cancel 30 days prior to an event, 100% refund will be given or credit towards a future event (your choice). If you cancel 10 days or less before an event, a refund is given, minus a $50 administrative fee.
  • If you start your journey to one of our events and you miss a flight or encounter a mis-connection or flight cancellation, let us know and we'll figure out what to do on a case-by-case basis.
  • Occasionally, it may be necessary to reschedule or cancel sessions. Registrants will receive advanced notice of such changes. If the Managed Care Institute cancels a program, the amount paid to the Institute will be refunded completely. Additionally, The Institute will issue a credit certificate toward any future educational program or products, valid for one year. We cannot be responsible for any penalties incurred as a result of discounted airfare purchases.

More about our courses

Master Classes ($995)

The Managed Care Institute's Master Classes have been created to build on knowledge you’ve obtained through prior programs and real-world experiences, and are designed to provide attendees with tangible tools that will enable your organization to survive and thrive under new and existing healthcare reforms. Master Class faculty experts lead the course with time built in to network and discuss issues during the class with your peers on topics related to organizational competencies in the learning objectives. As a result, you'll learn how to enhance margins, reduced losses, and make real improvements in the the business of health care. You’ll review case studies from real organizations, live contracts with names redacted,  and share the challenges and opportunities they have encountered in their journey along the multiple paths of contracted healthcare reimbursements

Master Sessions are limited in size to promote maximum attendee interaction. Recognized industry experts facilitate each program, and guide healthcare finance leaders in their journey toward value and a future where population health management and organizational effectiveness are the norm.

Who should attend?

  • Senior healthcare finance leaders
  • Healthcare executives and managers responsible for driving change in their organization
  • Those who understand the big picture and want to interact with peers to discuss new, innovative strategies that drive value
  • High-performing change agents
  • Those charged with driving cultural shifts in their organization
  • Those interested in an intensive briefing to address the transformation of healthcare deliveryNote: Space is limited. Verification of successful registration completion will be provided.  No product sales or vendor presentations.
One-day Workshops ($495)

The Managed Care Institute offers practical, authoritative training and information on key issues of healthcare reimbursement for physicians, hospitals, ASCs, AMCs, ancillary health suppliers, rehab, home care and more. These courses are designed as overview courses that zero in on a specific topic within contracted healthcare reimbursement.  Course topics range from pay for performance to capitation and risk sharing, bundled payment rate development, value based purchasing, exclusionary tactics, illusive payment language and everything in between.

Who should attend:

Newcomers to the field and seasoned professionals seeking a quick, focused overview or update on topics that affect their job or for which a new strategy and approach is needed.

Each course is designed to give you the tools, tips and techniques you'll need to grow professionally, build on new skills and competencies, improve your job prospects and expand your understanding.

Note: Space is limited. Verification of successful registration completion will be provided.  No product sales or vendor presentations.

Two-day Workshops ($895)

The Managed Care Institute offers practical, authoritative training and information on key issues of healthcare reimbursement for physicians, hospitals, ASCs, AMCs, ancillary health suppliers, rehab, home care and more.  These courses are designed as overview courses that zero in on a broader or deeper scale within a specific topic in contracted healthcare reimbursement.  Course topics range from pay for performance to capitation and risk sharing, bundled payment rate development, value based purchasing, exclusionary tactics, physician employment contracting, contract language analysis, illusive payment language, price and rate modeling, and everything in between.

Who should attend:

Newcomers to the field and seasoned professionals seeking a more in-depth or broader overview or update on topics that affect their job or for which a new strategy and approach is needed.

Each course is designed to give you the tools, tips and techniques you'll need to grow professionally, build on new skills and competencies, improve your job prospects and expand your understanding.

Note: Space is limited. Verification of successful registration completion will be provided.  No product sales or vendor presentations.

Live Interactive Webinars (Usually free for members; $99 for non-members)

The Managed Care Institute offers practical, authoritative live, interactive webinars training and information on key issues of healthcare reimbursement for physicians, hospitals, ASCs, AMCs, ancillary health suppliers, rehab, home care and more.  These courses are designed as short subjects that can be adequately addressed in a 90-minute time frame inclusive of learning engagement (polls, Q&A, etc.) activities and meet course learning objectives.

Most webinars are free to paid Managed Care Institute members and $99 for non-members, unless otherwise noted. Become a member today.

Who should attend:

Newcomers to the field and seasoned professionals seeking information on a focused topic that affect their job or for which a new strategy and approach is needed.

Each live-interactive webinar is designed to give you an array of tools, tips and techniques you can use immediately to learn new skills develop insights, improve job prospects and expand your understanding within the domain area of focus.

Note: Verification of successful registration completion will be provided.  No product sales or vendor presentations.

On-demand Webinars (Usually free for members; $99 for non-members)

The Managed Care Institute provides webinars available one calendar year following the live webinar date and year. On-demand webinars are not eligible for CPE credit with most associations because they lack the interactive learning that's required for credit.  Most webinars are 60-90 minutes and get down to business in the first 3 minutes of the presentation.

Most on-demand webinars are free for Institute members (M) and $99 for non-members (NM), unless otherwise noted.  Become a member today.

Who should attend:

Newcomers to the field and seasoned professionals seeking information on a focused topic that affect their job or for which a new strategy and approach is needed.

Each on demand webinar is designed to give you an array of tools, tips and techniques you can use immediately to learn new skills develop insights, improve job prospects and expand your understanding within the domain area of focus.  The on-demand recording function does include the opportunity to participate in polling sessions, Q&A, etc., but with our instructors, after you have taken the course if you have a question or two, the instructor will accept your question and provide quick general answers via email or by phone (at the instructor's discretion.)  If you decide you would like a more in-depth answer or additional assistance, the instructors are available for private consultation.

Note: Verification of successful registration completion will be provided.  No product sales or vendor presentations.

Four-day intensive destination learning retreats ($1695)

Each year, the Managed Care Institute offers 4 seasonal learning intensive retreats where participants immerse themselves in professional learning and capacity development for 4 days along with some seasonal destination fun activities. Activities are chosen by their alignment with the destination, the weather and appropriate for almost all ages and abilities. Let us know if you are mobility, hearing or visually impaired so that we can go over details with you so you can better decide if the retreat is right for you, or if we need to explore a reasonable accommodation for you.  We plan retreats so that you won't need to rent a car to get to the venue or to get around from the venue. Each venue has high walkability, local charm and access to all kinds of events for you to go off on your own if you like.  If you plan to rent a car, save money on car rental and parking if you extend your stay.

Retreats are scheduled around the USA and deliver about 6 hours per day of instruction. The rest of the time at the retreat is open for networking, tourism, and other activities in groups or on your own.  Each retreat opens with an arrival reception the evening before so plan to arrive in the afternoon and get settled so you can check in and join the fun. We seek out destinations with a variety of things to do, see and experience without spending a lot of money on pricey hotel rooms and expensive destinations.  Each season brings something different, and a different focus topic for the 4 days of education and training.

2017 Retreats will be scheduled in March, June, September and December. Claim your reservations early because retreats are limited to only 20 registrants.  If you don't have a corporate travel agency where you work, call our corporate travel planners to access any available airfare discounts.

Retreat reservations usually include ground transfers to and from the airport to the hotel or retreat venue. Some of the retreat venues arrange transportation directly. Retreats usually include all day learning and after hours activities with the group. If you plan to bring a companion traveler, we have special activitiy tickets so they can join us for meals and fun when we are not in class.  Usually the hotel charges no more or no less for one person or two people in a room, or for children that may accompany you.

Dress is casual (jeans, tees, sweaters, and so forth).

International workshops (price varies by location, topic and program length)

Sometimes the the Managed Care Institute is a partner and the registrar is another organization separate and distinct.

Since 2005, international courses have been held in the following locations:

  • Korea (4)
  • Malaysia (2)
  • Singapore (1)
  • Thailand (6)
  • India (3)
  • Philippines (1)
  • Japan (1)
  • China (1)
  • France (2)
  • Hungary (2)
  • Australia (1)
  • South Africa (3)
  • Dubai (2)
  • Tunisia (1)
  • Egypt (1)
  • Nigeria (1)
  • Mexico (7)
  • Colombia (3)
  • Peru (4)
  • Italy (2)
  • Greece (5)
  • The Netherlands (1)
  • Turkey (7)
  • Ukraine (4)
  • Germany (5)
  • Spain (6)
  • UK (4)

These courses are usually designed for local participants and focus on local contracted reimbursement and healthcare management issues. Managed care and contracted reimbursement is not a U.S. only phenomenon.  U.S. participants are welcome but will find that the issues addressed in the course are relevant to the local market and not designed to teach U.S. managed care courses at a foreign location.

Upcoming Events

2017 event dates and topics and destinations are being finalized now.