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Economic Aspects of Healthcare

Economic Aspects of Healthcare
50:220:367:40
Fall 2012
Professor Guy Pascale
Office Hours: M-W 3:00-4:20PM; Armitage 316
Phone: (856) 225-6136
E-mail: pascale@camden.rutgers.edu

Texts:

Information Technology for the Health Professions, Burke and Weill, Pearson, ISBN-978013289764

Overview of the Course:

This course is designed to expose students to the important terms and concepts related to the economic aspects of health care.  The course is broken into three sections.  The first encompasses technology in medicine including medical informatics, telemedicine, and public health.  The second section addresses the history, evolution, and conduct of managed care in the United States and includes material on physician compensation, types of manage care plans, and important organizational functions within the managed care environment.  The final section covers recent developments in the reform of health care in the United States.

Tests:

During the semester, there will be three exams and a final.  The exams only encompass material covered from the previous exam.  The final is cumulative.  The exams are worth 20% each and the final is worth 30% of your grade.  The exams are a mixture of multiple choice, problems, and objective questions.  Attendance accounts for 10% of the final grade.

No calculators or cell-phone usage is allowed during exams.  There is no extra credit for this course.

THERE ARE NO MAKEUPS.

THE UNIVERSITY HAS A WELL DEFINED POLICY ON CHEATING AND ACADEMIC DISHONESTY.  IN SUMMARY, DON’T DO IT.

No Cell Phones Are Allowed in Class

School policy allows for the removal of any student who is a disruption in the classroom.  A cell phone ringing in class constitutes a disruption.  

Course Outline 

Part I: Economic Aspects of Technology in Medicine

Section 1.1 Introduction to Information Technology and Medical Informatics

  • Hardware
  • Software
  • Telecommunications

Section 1.2 Administrative Applications, Telemedicine, and Public Health

  • Medical Office Administration
  • Scheduling and Accounting
  • Handling Insurance Claims
  • Telemedicine in Radiology, Cardiology, and Neurology
  • Information Technology in Disease Tracking

Section 1.3 Information Technology

  • Radiology
  • Surgery
  • Pharmacy
  • Dentistry

Section  1.4 Informational Resources

  • Computer-assisted Instruction and Expert Systems
  • Rehabilitative Therapies
  • Security and Privacy

Part II:  Economic Aspects of Managed Care

Section 2.1  Origins, Types, and Perceptions of Managed Care

  • Early forms
  • Legal challenges
  • Evolution
  • Restriction of care
  • Denials
  • Overall satisfaction

Section 2.2 Physician Networks and Compensation

  • Primary and Specialty Care
  • Contracting Situations
  • Credentialling
  • Fee-for-service (FFS)
  • Capitation
  • Carve-outs
  • Mixed models

Section 2.3 Medical Management

  • Medical-Surgical
  • Disease Management
  • Case Management
  • Prescription Drugs

Section 2.4 Healthcare Consumerism and Accreditation

  • Health Savings Accounts
  • Consumer Driven Health Plans
  • HEDIS and CAHPs
  • Measuring Quality

Part III: Recent Issues and Extra Topics

Section 3.1  Meaningful Use/HITECH Act and Healthcare Reform

  • Electronic medical records
  • Reporting
  • Impact of Reform

Section  3.2 Long-Run Trends in Health Care

  • The role of technology
  • Cost trends

Section 3.3 Regression Analysis in Healthcare