Delaware County Community College, Serving Delaware and Chester Counties

AHA 206 - Reimbursement and Financing in Managed Care

Course Description

Health care is the largest service industry in the United States. Healthcare managers are controllers of significant financial resources that must be managed with an eye toward the bottom line in a highly competitive marketplace. They must fully understand current financial trends in reimbursement for services provided. This course provides information on the impact of various forces on the financing of healthcare. It also explores reimbursement trends and issues from the perspective of providers, payers, and consumers of health. Special focus in this course is on managed care impact on reimbursements.

Upon successful completion of this course, students should be able to:

Use correct terminology in discussing the financial aspects of health care.
Develop a format for capital budget planning.
Formulate a budget request.
Identify the implications of managed competition and global budgeting on reimbursement initiatives.
Analyze the impact of health care reform and changed governmental reimbursement strategies on department management.
Evaluate the effects of cost containment measures used by multiple entities in the health care continuum.
Describe the emerging methods of reimbursement in fee-for-service and managed care environments.

Credit Hours: 3
Lecture Hours: 3

Course Prerequisites: MAT 050 or MAT 060 or test scores, AHA 209