Health Care Payment and Policy

Catalog description

This course covers the types of health care payors and the relationships between them, including HMOs, PPOs, CMPs, Medicare and Medicaid, and other managed care arrangements. Topics will include utilization review, ERISA, agency doctrine and payor operational and contracting issues. Students will become familiar with managed care and analyze healthcare plans and policies. (LLM only or with permission)) will likely affect access to care and health care spending; Explain the major drivers of cost growth and the factors that threaten the sustainability and solvency of the US health care system.