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Course Catalog

309.620.01 MANAGED CARE AND HEALTH INSURANCE

Term: 3rd term
Credits: 3 credits
Contact: Jonathan Weiner
Academic Year: 2013 - 2014
Course 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. Uses outside experts extensively.

Learning Objective(s):
Upon successfully completing this course, students will be able to:
Identify issues related to the design, function, management, regulation and evaluation of health insurance programs and managed care organizations, including HMOs
Distinguish between both private and public sector programs available within the US and other countries with organized health care programs
Function as managers, policy analysts or evaluators of health insurance/managed care programs

Methods of Assessment: Student evaluation based on a mid-term and a take-home final exam.
Location: East Baltimore
Class Times:
  • Monday 9:00 - 10:20
  • Wednesday 9:00 - 10:20
Enrollment Minimum: 10
Instructor Consent: No consent required
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.

Auditors Allowed: Yes, with instructor consent
Grading Restriction: Letter Grade or Pass/Fail
Special Comments: 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. Also relevant to students who will be researching and analyzing these systems.