Course: Managed Care and Health Insurance
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 |
| 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 |
| 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 |
| 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 |
