Principles of Managed Care, Insurance and Reimbursement (HTCA455)
(09/07/2021-12/17/2021)
Course Memo
This course provides an orientation to the organization and administration of managed care arrangements, health maintenance organizations, preferred provider organizations, and related enterprises. The course examines the operation of health insurance plans from both the buyer and the insurer perspectives. Topics include impact of managed care on services, risk arrangements, financial structures and pricing, capitation, legal and regulatory issues, and the changing relationships between patients, providers, employers, and payers (both public and private).