AHA 209 - Philosophy of Managed Care

Course Description

Managed care is now mainstreamed in America's health care system and has changed the delivery of health care services. Individuals working in the health care arena need to understand the impact of managed care on patients and providers. This course will review the evolution of managed care, explore how it works, contemplate its future and discuss the ethical issues surrounding it today. Also in the course the roles and responsibilities of the case manager will be investigated, as well as the tools used to coordinate the delivery of cost-effective quality care. Upon successful completion of this course, students should be able to: Describe key concepts of the philosophy of managed care. Explain the paradigm shift from fee-for service to capitation. Define specific terminology utilized in managed care models. Specify the roles and responsibilities of the case manager. Identify critical components in developing and implementing treatment plans. Explain the role of critical paths and disease management strategies. Describe the role of the case manager and/or health care provider in client advocacy and ethical decision making.

Credit Hours: 3
Lecture Hours: 3


Course Prerequisites: AHM 102, AHM 233, AHM 140, AHA 207