MANAGING IN HEALTH CARE II

BACHELORS DEGREE IN HEALTH CARE ADMINISTRATION

HCA 200

Breyer State University
Instructor: Mark C. Barabas, DHA

SYLLABUS

TEXTBOOKS: There are two required textbooks for this class.

Book 1: Introduction to Health Services, Fifth Edition, by Stephen J. Williams and Paul R. Torrens, Delmar Publishing: 6th Ed 2002. ISBN # 00766836118

Book 2: Health Economics, Revised Edition, by Rexford E. Santerre and Stephen P. Neun, Dryden Publishing: 2000. ISBN # 0-03-025629-1

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This course focuses on the major components of the Healthcare Delivery System. The materials for this course are focused in Chapters 5, 6, 7, 15, 16, 17 in Introduction to Health Services and Chapters 11, 12, 13, 14 in Health Economics.

COURSE CONTENT:

1). Healthcare Expenditures.
2). Medicare and Medicaid.
3). Origins of Health Insurance.
4). Benefit Structure.
5). Experience rating and Community rating.
6). Case Mix Index.
7). HMO's, PPO's.
8). Managed Care Theory and Principles.
9). Continuium of Insurance type.
10). Provider Concerns.
11). Medicare and Medicaid Managed Care.
12). Health Insurance as a group benefit- funding.
13). Blue Cross and Blue Shield.
14). Drug, Dental, Vision, Retiree and Long-Term Care Plans.
15). Disability Insurance.
16). Health Insurance Industry changes.
17). Health Policy and the political system.
18). Federalism and Pluralism.
19). Policy implementation.
20). Measuring quality - benchmarking.
21). Outcomes and Health status.
22). Cost Containment and Quality.
23). Disease Management.
24). Ethical Issues in Public Health.
25). Ethical issues in Healthcare.
26). Government Intervention.
27). Special Interest Groups.
28). Price Ceiling and Supply and Demand.
29). Cost shifting.
30). Anti-trust laws-price fixing.
31). Medical Student Debt.
32). CHIP.
33). DRG's (DRG Creep), PPS.
34). BBA-1997.
35). Barriers to Entry.
36). Adverse Selection and Moral Hazard.
37). The Uninsured.
38). Physician distribution, employment and expenditures.
39). Physician reimbursement - trends.
40). Supplier induced demand - Manipulated by physicians.
41). Self-referral.
42). Defensive Medicine.
43). Physician Income.

COURSE OBJECTIVES: Upon the completion of this course, you will be able to do:

1). Analyze Healthcare Expenditures.
2). Understand the origins of Health Insurance and benefit structures.
3). Differentiate Community rating and experience rating as related to group health insurance.
4). Discuss Managed Care Theory and Principles.
5). Review the Government's role in establishing Medicare and Medicaid programs including Managed Care.
6). Understand Health Policy Formation and the role of the political system.
7). Relate measuring quality to Benchmark, Outcomes and Health Status.
8). Identify ethical issues in Healthcare.
9). Discuss price ceilings, supply and demand, and cost shifting.
10). Understand DRG's and PPS systems.
11). Review physician reimbursement, distribution, employment and expenditure issues.
12). Relate what you've learned in this course to your work environment.

COURSE PROGRESSION: The course begins on the date of your enrollment. You have ten weeks to complete this course. Extensions are rarely granted, and the, only for extreme emergencies or active military duty. If you do not complete the course within the ten week time frame will receive an "incomplete/withdrawal" and will have to re-register and pay tuition again if you desire to complete it.

This is a self-paced course. You may proceed at the pace that is right for you. It is acceptable to accelerate in this course and complete it in less than ten weeks with my permission.

As you progress through the course, always feel free to contact me to discuss issues, questions, etc. related to the course. I am there to be a mentor to you as you proceed with learning.

COMMUNICATION: You may contact me via e-mail at any time. You may also request to have a meeting in a chat room with me. Please make such requests directly to me, I will then set the date and time for the chat room meeting. I will answer your e-mails within 48 hours of receipt.

Exams: There is one examination for this course.

ASSIGNMENTS: all of the assignments for this course are detailed in the classroom. Go back to the classroom page and click on "assignments".

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