Component 1; Unit 4: Financing Health Care, Part 1

Component 1; Unit 4: Financing Health Care, Part 1

Description:

This unit provides an overview of the role of health care in the economy and a description of various models of health care financing. The unit provides a history of the current U.S. system and laws that have influenced its development. It also includes discussion of health care financing at the government, health care organization, and consumer levels.

Objectives:

  1. Describe the history and role of the health insurance industry in financing health care in the United States, and the federal laws that have influenced the development of the industry.
  2. Explain the importance of the health care industry in the U.S. economy and the role of financial management in health care.
  3. Describe models of health care financing in the U.S. and in selected other countries.
  4. Explain the differences among various types of private health insurance and describe the organization and structure of network-based managed care health insurance programs.
  5. Describe the various roles played by government as policy maker, payor, provider, and regulator of health care.

Describe the organization and function of Medicare and Medicaid.

Lectures:

Component 1; Unit 4; Lecture 4a Comp1_unit4a_lecture_slides

The history of the health insurance industry in the U.S. (20:54)

Component 1; Unit 4; Lecture 4b Comp1_unit4b_lecture_slides

The role of health care in the U.S. economy (11:24)

Component 1; Unit 4; Lecture 4c Comp1_unit4c_lecture_slides

Types of Health Care Systems (19:49)

Component 1; Unit 4; Lecture 4d Comp1_unit4d_lecture_slides

Payors in the U.S. Health Care System (26:03)

Component 1; Unit 4; Lecture 4e Comp1_unit4e_lecture_slides

The Government as an Insurance Payor (17:38)

Suggested Readings

Trivedi, A (2016). Overview of Health Care Financing. Merck Manual, Professional Edition. R. Porter. Kenilworth, NJ, Merck Sharp & Dohme Corp.

http://www.merckmanuals.com/professional/special-subjects/financial-issues-in-health-care/overview-of-health-care-financing

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