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