Advanced Benefits Strategies
Advanced Benefits Strategies
Advanced Benefits Strategies is an Employer Learning course for leaders and benefits professionals evaluating sophisticated employer health-plan strategies. Across 17 modules, you will explore direct provider contracting, group captives, AI-powered analytics, international drug sourcing, pharmacogenomics, employer coalitions, gene therapy risk management, and health equity through an employer decision-making lens.
What You Will Learn
Learning objectives for this course.
Who This Course Is For
This course is designed for the following roles.
Course Modules
17 modules · 85 lessons
Direct Contracting: Bypassing the Carrier Middleman
Build direct relationships with hospitals and physician groups to achieve Medicare-plus pricing.
5 lessons · 50 min
Captive Insurance: Group Captives and Single-Parent Structures
Master advanced captive insurance structures for employer health benefits — from group captives to single-parent arrangements.
5 lessons · 50 min
Advanced Analytics and AI in Benefits Management
Leverage predictive analytics and AI to identify high-risk members, optimize care navigation, and drive measurable cost savings.
5 lessons · 50 min
International Drug Sourcing: Legal Frameworks and Employer Programs
Navigate the legal and operational landscape of international drug sourcing programs that can reduce specialty drug costs by 50–80%.
5 lessons · 45 min
Pharmacogenomics and Precision Medicine in Benefits
Leverage genetic testing to optimize medication therapy, reduce adverse drug events, and improve clinical outcomes.
5 lessons · 45 min
Employer Coalitions and Collective Purchasing Power
Leverage employer coalitions to aggregate purchasing power, share data, and drive market-level change in healthcare.
5 lessons · 45 min
Gene Therapy and Cell Therapy: Managing Million-Dollar Treatments
Prepare employer health plans for the financial and clinical impact of gene and cell therapies — treatments that can cost $2–4 million per patient.
5 lessons · 50 min
Health Equity and DEI in Benefits Design
Design benefits that address health disparities, remove access barriers, and advance health equity for all employees.
5 lessons · 45 min
Reference-Based Pricing: Advanced Implementation and Management
Master advanced RBP implementation — from vendor selection and member communication to legal defense and hybrid models.
5 lessons · 50 min
Advanced Stop-Loss Structures: Aggregate, Lasers, and Captive Integration
Master advanced stop-loss structures — aggregate design, laser management, captive integration, and hard market navigation.
5 lessons · 50 min
Level-Funded Plans: Advanced Design and Optimization
Master advanced level-funded plan design — from underwriting and claims data access to renewal strategy and migration to self-funding.
5 lessons · 45 min
TPA Selection and Management: The Operational Core of Self-Funding
Select, contract with, and manage a TPA that delivers operational excellence for your self-funded health plan.
5 lessons · 45 min
Health Plan Litigation Risk: ERISA Fiduciary Liability
Understand the growing litigation risk for employer health plan fiduciaries and build a defensible compliance posture.
5 lessons · 50 min
Benefits Technology Stack: HR Tech, Benefits Admin, and Data Integration
Build a modern benefits technology stack that streamlines administration, improves member experience, and enables data-driven decisions.
5 lessons · 50 min
The Strategic Advisor Practice: Building a Premium Advisory Business
Build a premium advisory practice that commands higher fees, deeper client relationships, and a differentiated market position.
5 lessons · 45 min
The Future of Employer Benefits: Trends Shaping the Next Decade
Understand the macro trends reshaping employer benefits and position your practice for the opportunities ahead.
5 lessons · 50 min
Samaritan Fund: Employee Hardship Assistance Programs
Design and implement employee hardship assistance programs that support employees in crisis while maintaining compliance and sustainability.
5 lessons · 45 min
Earn Your Certificate
Complete all modules, pass the module quizzes, and score 80% or higher on the 50-question final exam to earn your certificate of completion and 14.0 certificate hours.