About the Course

A look at the structure and consequences of a single-payer system so you can better understand what is out there and how to educate your clients.  

Members of Congress are discussing whether a single-payer system, such as in Canada and other countries, would be the way to achieve universal coverage in the United States. Some of the proposals being considered may look similar to systems we have today, but are still single-payer systems or a pathway to single payer. Would you recognize a single-payer system? These systems exist all over the world and we can learn from those that are already in existence. This issue is not only an issue of political contention, but one that is being broadly discussed on an ongoing basis.   
It is critical for health insurance professionals to understand what a single-payer system would mean for their families, clients and country. This three-hour course provides in-depth instruction from NAHU CEO Janet Trautwein on the importance of the overall functioning of healthcare delivery and financing in the United States, the structure of single-payer systems in other countries, and detailed information on legislation that has been introduced in Congress or proposed by political candidates. It also includes important references for supplemental reading, continuing education credits and a final exam.

NAHU's Legislative Position

NAHU strongly opposes all forms of single-payer healthcare and is committed to promoting employer-sponsored health coverage and preserve Medicare, Medicaid, and other existing health programs.

Course Highlights

  • Characteristics of single-payer healthcare plans
  • Types of healthcare delivery and payment systems
  • Pros & cons of multi-payer healthcare systems
  • Benefit structure under single-payer systems
  • Provider payment methods - fee-for-services
  • Prescription drug payments
  • Cost containment
  • Single-payer healthcare systems around the world
  • Why the United States is different
  • Why the United States costs are higher
  • United States politics in single-payer legislation
  • Consequences of public option plans, Medicare buy-in and Medicaid buy-in plans

Online Cost

The cost of the course will be $191 for NAHU members and $298 for non-members. Upon completion, the student will receive a certificate of completion as single-payer certified. Continuing education credits have been filed in all 50 states. Please check your state’s CE approval status prior to purchasing the course.

Classroom Cost

Online Format

Course instruction will be delivered through NAHU's Online Learning Institute


REBC® Designation Elective

The NAHU Single-Payer Healthcare Certification is an elective of the Registered Employee Benefits Consultant® designation. Earning the REBC designation elevates your credibility as a professional and prepares you to best serve your clients. By completing the NAHU Single-Payer Healthcare Certification you will be one step closer to obtaining the designation. Click here to access more information about the REBC designation, including the learning objectives and curriculum.


Click here for the print version of the course description.

Classroom Format

Have Questions?

Contact Student Services with questions or comments at 844-257-0990 or professionaldevelopment@nahu.org.