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Course Catalog

309.620.01 MANAGED CARE AND HEALTH INSURANCE

Department:
Health Policy and Management
Term:
3rd term
Credits:
3 credits
Academic Year:
2012 - 2013
Location:
East Baltimore
Class Times:
  • M W,  9:00 - 10:20am
Grading Restriction:
Letter Grade or Pass/Fail
Course Instructor:

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Prerequisite:

This course is intended for students with some basic knowledge of the US health care system. 300.651 or a similar courses or consent of instructor.

Description:

Presents an overview of major issues related to the design, function, management, regulation, and evaluation of health insurance and managed care plans. Provides a firm foundation in basic concepts pertaining to private and public sector health insurance/benefit plans, both as provided by employers and government agencies such as Medicaid and Medicare. Key topics include population care management techniques, provider payment, organizational integration, quality and accountability, cost-containment, and public policy. The course makes extensive use of outside experts Course is relevant for management- or policy-oriented students who will be working in, or interrelating with, public and private (both for-profit and not-for-profit) health insurance plans and organized delivery systems such as HMOs and hospital/physician “integrated” delivery systems. Course is also relevant to students who will be researching and analyzing these systems. Although the emphasis is placed on the US, the mat

Methods of Assessment:

Student evaluation based on a mid-term and a take-home final exam.

Enrollment Restriction:

Student taking 309.620 for credit should not enroll in 309.622.11.

Instructor Consent:

No consent required