May 22, 2024  
2012-2013 Saint Joseph’s College Online 
    
2012-2013 Saint Joseph’s College Online [Archived Catalog]

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HA 360 - Introduction to Managed Care


Providesunderstanding of how managed care creates a medical practice environment filled with rapid and unpredictable change.This course will guide and improve understanding of managed care principles, and provide a working knowledge of the basic structure and behavior of managed care organizations, the delivery systems organizational responses, the financial arrangements and incentives involved, and the influences on medical practice and service utilization.

Prerequisites & Notes
HA 343

Assignment Overview
Assignments: 4 Units

Interactivity: Discussion Board

Course Learning Objectives
Upon completion of this course, you will gain an understanding of the following: 

  • The evolution of managed care, including the driving forces which have caused this evolution. 
  • Current trends in managed care and how market dynamics have changed over time. 
  • The basic models of managed care organizations, their advantages and disadvantages. 
  • The pros and cons of the various delivery-system responses to managed care. 
  • The types of contractual arrangements being used by physicians and hospitals. 
  • Managed care firms handling and processing of information. 
  • The various approaches to utilization management used by managed care organizations. 
  • Implications of increasing managed care in the state and federal health care programs.


Credits: 3



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