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Georgetown University


Detailed Course Information


Fall 2017
Jan 17, 2018
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Information Select the desired Level or Schedule Type to find available classes for the course.

EHSY 666 - Reimbr Pol & Impl for Med Care
This course examines the effects of third-party coverage on the organization and delivery of
medical care. It is presumed that the student already has a basic understanding of the financing
of medical care, including a basic understanding of medical care reimbursement. This course
undertakes a deeper understanding of the consequences associated with the manner in which financial risk is pooled and implications of the approaches taken to reimburse and pay health care providers.
This course will trace the origins and examine the limits of emerging approaches in “pay for
performance,” value-based purchasing,” “shared savings,” “bundled payments,” “medical homes,”
“Accountable Care Organizations,” as well as various forms of managed care.
This course will also examine how reimbursement or payment policies have been used to affect
the organization and delivery of health care in general, improve the quality of care, and attempt to
ensure that resources are expended efficiently and effectively.
Students who take this course should be in a stronger position to help develop reimbursement
methods for payers, negotiate or lobby for changes in existing reimbursement methods on behalf
of providers, or advocate for the use of coverage and reimbursement policies to help alter the
organization and delivery of medical care.

2.000 Credit hours
2.000 Lecture hours

Levels: MN or MC Graduate
Schedule Types: Lecture

Exec Hlth Systm Admin Department

Must be enrolled in one of the following Levels:     
      MN or MC Graduate

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