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Care + Coverage: Understanding Insurance to Improve Patient Outcomes

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Learning Objectives: 

  1. Understand the role of insurance in clinical care, including how coverage affects access, treatment decisions, and patient outcomes.
  2. Identify key insurance types relevant to NYC Health + Hospitals patients: Medicaid, Medicare, Dual Eligible (DSNP), and Marketplace plans.
  3. Recognize common coverage challenges faced by patients and how these impact clinical workflows and care delivery.
  4. Apply practical strategies to support patients in navigating insurance, including referrals to enrollment resources and social services.
  5. Appreciate the clinician’s role in advancing health equity through insurance literacy and system-level advocacy.

Course Details

Training Initiative: Attending Academy

Title: Care + Coverage: Understanding Insurance to Improve Patient Outcomes

Training Mode: Online

Contact Hours: 10 Minutes

Credit Type Details: Health insurance plays a critical role in shaping how patients access care, adhere to treatment, and experience the health care system. As medical residents within NYC Health + Hospitals, understanding the fundamentals of insurance — especially Medicaid, Medicare, and Dual Eligible plans — is essential to delivering equitable, effective care. This session equips residents with practical knowledge and tools to recognize coverage gaps, support patient navigation, and advocate for better outcomes through insurance literacy.

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