309.620.01
Managed Care and Health insurance
Location
East Baltimore
Term
3rd Term
Department
Health Policy and Management
Credit(s)
3
Academic Year
2013 - 2014
Instruction Method
TBD
M, W, 9:00 - 10:20am
Auditors Allowed
Yes, with instructor consent
Available to Undergraduate
No
Grading Restriction
Letter Grade or Pass/Fail
Course Instructor(s)
Contact Name
Frequency Schedule
Every Year
Resources
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.
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
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
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.