A physician not only has responsibility for the health of patients, but he/she is also the steward of society's health-care dollar and limited resources. Managed health care integrates health insurance functions with delivery of medical care. This course introduces students to a variety of the challenges faced by health-care providers in a managed-care environment. Topics include fundamentals of managed-care structure, capitation rate development, utilization management, cost and resource allocation, and measurement of health outcomes. Graded S/U.
2 semester credits