Course: Managed Care and Health Insurance

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Schedule


Session Topic Activites
1 Overview of Insurance/Managed Care Principles and History Lecture 1 - Jonathan Weiner
2 HMOs and Integrated Delivery Systems Lecture 2 - Jonathan Weiner
3 Risk, Capitation, and other Financial Issues Lecture 3 - Jonathan Weiner
4

PPOs and CDHPs and other non-HMO models

Lecture 4 - Jonathan Weiner

Discussion of Assignment 1

5 Medical Management in IPA/Network HMOs Lecture 5 - Bernie Manscheim, Coventry Health Care
6 Quality & Accountability I

Lecture 6 - David Bodycombe, Jonathan Weiner

Quiz 1

7

Medical Management in Group/Staff HMOs

Lecture 7 -

Amy Phillips, Kaiser Permanante Mid-Atlantic

8 Organizational and Provider Network Challenges in an Academic Integrated System Lecture 8 - Patty Brown & Robert Kritzler, Johns Hopkins Healthcare
9

Quality & Accountability II

Lecture 9 - Sarah Scholle, National Committee for Quality Assurance

Assignment 1 due

10 MC & Public Policy I: Medicare & Medicaid Managed Care

Lecture 10 - Jonathan Weiner

Quiz 2

11

MC & Public Sector Plans II : Medicaid and Health Reform for Uninsured

Lecture 11 - Jonathan Weiner

Discussion of Assignment 2

12 Managed Care in a Global Context Lecture 12 - Hugh Waters & Jonathan Weiner
13 Ethical Issues in Managed Care & Health Insurance

Case study presented by Ingrid Burger

Final paper topic due

14 Pharmaceuticals: PBMs & Medicare Part D

Lecture 14 - Alan Lyles

Quiz 3

15 Managed Behavioral/Mental Health Services Lecture 15 - Steven Sharfstein, Sheppard Pratt
16 Developing Trends in Managed Care (Selected by Class)

Lecture 16 - Jonathan Weiner

Assignment 2 due