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Dec 22, 2024
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HCA 602 Healthcare Reimbursement Paradigms
3 credits
This course familiarizes students with the paradigms associated with health care delivery in the US and the determination of value/quality. Fee-for-service, pay-for-performance, value-based purchasing, etc. as arrangements in reimbursing professionals and hospitals will be explored. The dynamic relationship composed of public and private payers, profit and non-profit providers, public policy entities (Affordable Care Act), employers/industry and patients/consumers will be explored related to quality healthcare. Particular attention will be given to Population Health and its unique attributes. A systemic view will be stressed to illustrate the sensitivities existing among the entities of the health care, for example, how does quality as inpatient admission reduction impact hospitals, payers, etc.
Prerequisite(s): HCA 501 , HCA 502
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