Health Insurance

This Programme is developed by Healthcare SSC with support of World Bank, National Health Authority (NHA), General Insurance Council and key insurance companies, TPAs and healthcare service providers from across India.

Objective: This program would be beneficial for all healthcare professionals to understand the various aspects of health insurance which would help faster claim management of patients and thereby faster healthcare delivery services along with better patient satisfaction.

Target Audience: All healthcare professionals should undergo this Competency Enhancement Program, ranging from MBBS doctors, AYUSH doctors, pharmacists, nurses, hospital administrators or any professional working in healthcare service/ insurance industry.

Structure of Program: It is running into 6 modules each consisting of a few sub-modules which allows the participants to learn at their own pace in completely online mode incorporating interactive activities and exercises as a learning mechanism.

Participants would be expected to view all the videos, activities and exercises thoroughly as well as attempt both Formative and summative assessments in order to get the Certificate.

video
Duration 9 hrs ₹ 6999.00 +GST Enquiry Enroll the Course
Sample Certificate
What You'll Gain
  • In-depth knowledge of training methodologies for skill, knowledge, and decision-making.

  • Practical exposure to simulation methodology and its educational application.

  • Hands-on experience with simulation equipment and session facilitation.

  • Tools to integrate simulation into academic curricula for enhanced learner outcomes.

  • A certificate of completion from Healthcare Sector Skill Council.

Special Features
  • Designed by industry experts in collaboration with Laerdal.

  • Blended format: 2 days of self-paced learning + 3 days of practical training.

  • Real-world scenario building and debriefing practice.

  • Limited seats ensure focused learning and individual mentoring.

  • Program held at Advance Technology Centre, New Delhi – a state-of-the-art simulation training facility.

Course Eligibility: DIPLOMA
Course Preview

Short Teaser

Long Teaser

Health Insurance Concepts would provide you a good understanding of Healthcare financing and the role of health insurance in Universal Health Coverage, the various models of healthcare financing and the key concepts of health insurance

Stakeholders and Health Insurance Regulations in India would provide you a good understanding of the Indian health insurance market– the key stakeholders, customer segments and products including both self and government-funded health insurance schemes such as Ayushman Bharat Pradhan Mantri -Jan Arogya Yojana as well as the role played by Insurance Regulator - IRDAI, various Health Insurance Regulations in India, and the key provisions and guidelines pertaining to COVID-19

Health Insurance underwriting, distribution and policy administration would provide you a good understanding of the key concepts of health insurance underwriting and actuarial pricing, the key products and clauses in health insurance- inclusions and exclusions, standard definitions etc.

Health insurance claims management would provide you a good understanding about provider experience – the Health insurance claims management and reimbursement giving a comprehensive view of the standard medical terminology, formats and documentation for claims processing, standard treatment guidelines and most importantly how to ensure a timely and hassle-free pre-auth, claim approvals and payments experience and handle queries, rejections and repudiations.

Digitalization of health insurance would make you more savvy in health tech with key concepts like - Data standards and digital exchange platforms, Different Coding methodologies- ICD, PCS, Snowmed City, ICHI etc. and the impact of the Ayushman Bharat Digital Mission (ABDM) on healthcare.

Issues and challenges in health insurance would prepare you to deal with key issues and challenges faced by key stakeholders in health insurance relating to pre-existing disease (PED), non-disclosure, exclusions, Fraud and abuse, Customer Experience and Grievance Redressal as well as Medico-Legal aspects.

Description

This comprehensive program is tailored for faculty members from nursing, medical, paramedical, and allied health sciences. It aims to build capacity in simulation-based education by offering practical exposure to training methodologies, scenario planning, and hands-on simulation operation. Participants will develop the confidence and competence to integrate simulation into classroom and clinical teaching.

Curriculum

Understand the foundational principles of simulation as a teaching tool in healthcare education. This session explores the types, purposes, and benefits of simulation in clinical training.

Learn key adult learning principles and facilitation methods to enhance learner engagement and retention during simulation sessions. This forms the backbone of effective instruction.

Master the art of writing impactful simulation scenarios based on learning objectives, clinical relevance, and realism, ensuring structured and goal-oriented simulation sessions.

Explore the role of structured checklists and objective scoring tools (e.g., OSCE) to ensure fair, consistent, and competency-based evaluation of learners.

Learn to plan, execute, and score OSCEs efficiently with hands-on guidance, ensuring assessment of skills in a standardized manner.

Enhance learner engagement using case studies in simulation. Learn how to promote clinical reasoning and discussion through structured facilitation.

Understand the logistics, roles, and communication dynamics involved in running simulation sessions including setup, timing, and role assignments.

Learn evidence-based debriefing strategies such as the “Gather-Analyze-Summarize” model to promote learner reflection and maximize educational outcomes.

Understand how to create a safe and inclusive environment where learners can take risks, make mistakes, and learn effectively.

Gain practical exposure to operating simulation manikins and equipment including setup, troubleshooting, and scenario programming.

Learn how to provide constructive feedback and evaluate simulation performance using validated rubrics and learner-centered techniques.

Explore strategies for personal development, peer feedback, and quality improvement in simulation-based teaching.

Frequently asked questions

This course is open to healthcare educators, clinical trainers, nursing faculty, and paramedical instructors with an interest in simulation-based training.

No prior experience is required. The course is designed to support both beginners and those looking to enhance their current simulation facilitation skills.

Yes, participants will receive a Simulation Instructor Certification by the Healthcare Sector Skill Council upon successful completion.

The program duration is typically 3 to 5 days, combining theory sessions, live demos, and hands-on simulation practice.

Yes, practical exposure to high-fidelity manikins, scenario setup, and debriefing will be an integral part of the course.

Alumni receive continued access to learning materials, updates on best practices, and support through the ATC-HSSC Simulation Educator Network.