Module 1
1. Describe insurance?
2. Summarize the history of insurance?
3. Mention five (5) types of insurance?
4. Explain the principle of indemnity?
5. What is the relationship between health, insurance and general insurance?
6. Summarize the history of insurance.
7. Describe what is managed care?
8. State the principle of managed care?
9. Mention 3 types of mco’s?
Module 2
1. Explain what you understand by regulation?
2. How does regulation affect health insurance?
3. What is the guideline for formal sector contribution?
4. State the standard package for NIHS?
5. State the various classes of health care providers under the NIHS?
6. No regulation will amount to abuse of –Explain?
Module3
1. Explain what we mean by marketing in health insurance?
2. State the definition of marketing?
3. What is the role of research in marketing and business development?
4. What are the five (5) processes that contribute to employee/patient satisfaction?
Module4
1. What is QA?
2. Explain the two (2) principles of QA?
3. State the modus operandi of contracting hospitals?
4. State 4 advantages of accreditation?
5. What is pulmonology and NAEUMOLOGY
Module5
1. What is a medical/health technology?
2. What is the benefit of ICT/EMR?
3. State and explain the four (4) basic Pillars of any health system?
4. Describe MER?
5. Explain the following:
1. Telemedicine?
2. E health?
3. Tele health?
6. Explain in your own language the 10 Es in E health?
Module6
1. What is claims management?
2. Which activities need to be regulated in claims?
3. State three (3) categories of claims in insurance?
4. Describe how claims are settled in health insurance?
5. What is utilization and its function?
6. Explain the term medical under uniting?