309.620.01 Managed Care and Health Insurance
- Health Policy and Management
- 3rd term
- 3 credits
- Academic Year:
- 2013 - 2014
- East Baltimore
- Class Times:
- M W, 9:00 - 10:20am
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.
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 Objectives:
- 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.
- Instructor Consent:
No consent required
- 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.