Course Approval Form s5

Course Approval Form (To be used to propose new courses or make changes to existing courses)

Attach the following:

1. A brief course description;

2. A sample syllabus which includes: a. student learning objectives and how they will be assessed; b. an outline of topics to be addressed in the course; c. assignments for readings, papers, oral projects, examinations, etc. and their relationship to 2.a.

3. Rationale for the course, including how it fits with the existing curriculum; prerequisites (if any) and rationale; and course level and rational.

4. List of resources needed for the course: library, laboratory equipment, other special materials or facilities; and

5. A brief description of the evaluation procedures that will be used to determine the extent to which student outcomes (given in 2.a) have been achieved. Indicate ways in which results of the evaluation will be used not only to grade students but also to modify how the course is taught.

Initiator (Contact Person): Dr. Daniel J. West, Jr.

Department(s): Health Administration and Human Resources

Suggested Course Number / Prefix: HAD 527

Course Title (for Catalog): Managed Care

Credit Hours: 2

Catalog Copy/Course Description: (50 word limit)

A course designed to study the foundations and impact of managed care on health care consumers, purchasers, payors and providers. Various managed care programs, products, models, strategies and financing are identified. Specific emphasis is placed on authorizing laws, contractual and antitrust issues, risk assessment, contract development, data management, contract negotiations and administration. Frequency of Offering: Every Year __X__ Every Other Year _____

Anticipated Initial Offering: Year 2004 Semester Summer

Will this course replace an existing course (or courses?) ______Yes __X__ No If so, list course(s) to be replaced:

Purpose of Course (Check all that apply)

Major Requirement ______Major Elective ______Cognate ______Other Elective ______Other (specify)______General Education ______(Must be reviewed by Conference Committee on Curriculum) Please indicate the proposed category(ies):

Writing Intensive ______Cultural Diversity ______Humanities ______Social/Behavioral Sciences ______Natural Sciences ______Theology/Philosophy ______Quantitative Reasoning ______

Explain how the proposed course will fulfill the indicated requirements

Is this Course an Interdisciplinary Course? ______Yes _____X_____ No

Colleges Cooperating in Offering Course:

College of Arts and Sciences: ______Panuska College of Professional Studies: ______Kania School of Management ______Graduate School _____X____

Other, similar courses currently in the University’s course inventory: No

Discuss extent of overlap with existing courses: None HAD 527: MANAGED CARE

RATIONALE OF COURSE

Meets ACEHSA accreditation criteria; essential to understanding health care financing; see syllabus prerequisite courses.

RESOURCES NEEDED

Computer Software and Use of Computer Laboratory

EVALUATION PROCEDURES

1. Class Participation and Presentation; 2. Critical Analysis Reports; 3. Case Method Research and Application; 4. Professional Paper; 5. Negotiation Exercises in Class; and 6. Course Evaluations. Department of Health Administration and Human Resources Graduate MHA Program HAD 527 – Managed Care Michael M. Costello, J.D., MBA, FACHE Allen C. Minor, J.D., DBA, CPA Daniel J. West, Jr., Ph.D., FACHE, FACMPE Summer G, 2003 (8 weeks)

I. COURSE TITLE: HAD 527 – Managed Care

II. CREDITS: 2 Credits

III. PREREQUISITES: HAD 500 – Health Care Organization & Administration HAD 501 – Health Care Financial Management I HAD 519 – Health Services and Systems

IV. TYPICAL COURSE SEQUENCE: 1st Year

V. COURSE DESCRIPTION:

A course designed to study the foundations and impact of managed care on health care consumers, purchasers, payors and providers. Various managed care programs, products, models, strategies and financing are identified. Specific emphasis is placed on authorizing laws and regulations, historical considerations, contractual and antitrust issues, provider selection and network development, risk assessment, contract development, data management, cost structures, tort and legal actions, contract negotiations and administration, strategy formulation, medical necessity, cost-quality interface, and managed care ethical concerns. This course utilizes case methodology, financial analysis, contract negotiations, research and presentation skills. Emphasis is placed on competencies needed in applied health care settings.

IV. REQUIRED TEXTS:

Knight, W. (1997). Managed Care Contracting. Aspen Publishers, Gaithersburg, MD.

Kongstvedt, P.R. (2001). Essentials of Managed Health Care Aspen Publishers, Gaithersburg, MD.

VI. COURSE OBJECTIVES:

This course extensively utilizes case method research and application to demonstrate, discuss and apply managed care knowledge, skills, concepts, and theory. In addition to assigned text readings, students are required to read current research articles in preparation for class activities. Applied case studies are used to illustrate important concepts and develop competencies needed in managed care settings. As a result of taking this course, the student will be able to:

1. Understanding and apply managed care theory, foundations, concepts, terminology and models; 2. Discuss the evolution of managed care services and products; 3. Understand integrated managed care, network models, and the evolution of managed care products; 4. Demonstrate an understanding of current legal issues, managed care contracting, tort actions, antitrust issues, contract law; 5. Apply negotiation theory, practices and skills utilizing case method research and analysis; 6. Demonstrate an understanding of network development, competitive and collaborative approaches to healthcare delivery; 7. Apply principles and theories of risk, risk sharing and cost structures analysis; 8. Identify and utilize key indicators and data sources to analyze contracts used by purchasers, payors and providers; 9. Discuss managed care issues involving cost, quality and access to care; 10. Develop and use computer models, cost structures, and data bases to evaluate and calculate capitated rates, rate structures, premiums, and targets; 11. Develop and apply the ability to assess risk including utilization risk, pricing risk, risk associated with volume shifts, and methods to reduce risk; 12. Demonstrate an understanding of legal risk, contract law, patient rights, and contract compliance; 13. Understand the impact that manage care has on key stakeholders, and the issues related to these groups in terms of past, present and future markets; 14. Demonstrate pre-negotiation assessment and analysis, negotiation skills, and post negotiation actions; 15. Conduct contract negotiations representing a hospital, a physician IPA organization, a health plan, and consumers; 16. Examine, discuss and apply knowledge and concepts gained via assigned readings and personal research in class projects and discussions; 17. Identify, discuss and analyze current ethical issues in managed care; 18. Develop skills, competencies and points of view needed by healthcare administrators; 19. Synthesize knowledge and concepts to demonstrate an understanding of managed care in applied settings; and 20. Utilize and improve speaking, listening, writing, critical analysis, teamwork, and discussion skills.

VIII. MAJOR COURSE ACTIVITIES: A. Class Lecture I. Guest Speakers B. Class Discussion J. Professional Paper C. Class Participation K. Professional Presentation D. Class Attendance L. Case Method Research and Application E. Critical Analysis Reports M. Supplemental Readings F. Group Activity N. Research G. Course Handouts O. Computer Applications H. Reading Assignments

Class Lecture: A seminar style will be used throughout the course. The professor will provide additional information, research findings and opinions of other specialists via class lecture and discussion. This material will supplement text reading assignments and personal research. Effective note taking is essential and important because lecture material will be incorporated into class discussions, exercises, class projects, and case study analysis.

Class Discussion and Participation: This course is designed to maximize class interaction and utilize the resources and expertise of every participant. Participants are encouraged to ask questions, complete reading and course assignments, generate relevant discussions, and express their opinion on issues. Everyone in class will be asked to participate in class discussions on specific topics, as well as small group exercises. Student presentations will be made with time for discussion during class.

Class Attendance: Class attendance is extremely important because of the manner in which the course is designed. If participants cannot attend class because of circumstances beyond their control, this must be discussed with the professor. Lectures are designed to augment and supplement reading assignments. Students are expected to attend all scheduled meetings of courses in which they are enrolled. Every student is responsible for all material presented and announcements made during any class.

Group Activity: Some class activities, case studies, class debates and projects require working together in small groups of 3-4 people. Critical Analysis Reports: Each participant is required to complete two (2) critical analysis reports from professional articles written in appropriate health care journals on managed care. Refer to Appendix A for further instructions. Articles should be taken from refereed journals and not from trade magazines. Subject to the approval by the professor, participants may elect to use chapters in a professional text. Readings should focus on content area related to managed care. Each participant will be required to present their analysis of the article in class.

Guest Speakers: Outside professionals will offer lectures on a periodic basis. Such lectures provide an unique opportunity to experience a different point of view on select health care services and systems, and an opportunity to engage in discussions on specific topics and issues.

Reading Assignments/Handouts: Participants are required to read the course texts, journal articles, newspapers and course handouts to be completed between class sessions. Each student must thoroughly read the assigned readings and be ready for active and informed discussion in class. Active discussion of readings will require students to have a strong command of issues in readings. Students should critique and appraise the readings so that effective synthesis and evaluation of issues can take place for each reading.

Supplemental Readings: The professor will reference additional books and journal articles, as well as websites, to supplement and support lecture content and class discussions. Students are encouraged to read additional materials on specific topics as needed to further expand learning experiences and acquire additional knowledge on a subject.

Research: Completion of assignments will require individualized research to support ideas and to document opinions advanced on managed care, contracting, legal issues, negotiations, cost structures, data sources, and financial analysis.

Case Studies: The professor will utilize case studies to facilitate learning and application. Students will prepare for and participate in case study analysis, research and discussion. Cases will illustrate important managed care concepts, theory, issues, analysis and applications. The case method of study should facilitate critical thinking and critical analysis. Small groups will be used to analyze and discuss the case in class.

Case Method Research and Application: The class will use small groups of 2/3 people representing a hospital, a physician IPA organization, a health plan, and consumers. A managed care case study will be used for analysis, discussion and contract negotiations. Each team, representing a key stakeholder group, will conduct appropriate research and analysis of the case and prepare for contract negotiations in class.

Professional Paper and Presentation: Each team of 2/3 students will prepare a written position paper, analysis and evaluation of an applied case in managed care from a key stakeholder perspective. The analysis and data used in the professional paper will support the contract negotiation exercises conducted in class, and provide written evidence to support, organize, and advance negotiation skills training sessions used in class as part of the case method research exercise.

IX. COURSE EVALUATION AND ASSIGNMENTS: The main purpose of the course evaluation, activities, readings, discussions, case studies, debates and assignments will be to assess to what extent participants have achieved a better understanding, working knowledge, and comprehensive of managed care; an awareness of important issues and concerns; an ability to communicate information effectively to colleagues and the professor, both orally and in writing; and demonstrate competencies. X. GRADING CRITERIA: Weight Points Assignments Class Participation and Presentation 15 5% Critical Analysis Reports (2 Reports x 35 pts.) 70 25% Case Method Research and Application 40 14% Professional Paper 100 35% Negotiation Exercises in Class 60 21% Total 285 100%

XI. DETERMINATION OF COURSE GRADE:

All faculty will be involved in determining the course grade. Each course assignment has been assigned a point value and has an identifiable level of measure. The participant will perform each requirement to the grade level he/she desires as follows:

Grade GPA Points Definition % Cutoff A = 4.00 285-271 Superior/outstanding 95-100 A- = 3.67 270-268 Excellent 92-94 B+ = 3.33 267-259 Very Good 89-91 B = 3.00 258-251 Good 86-88 B- = 2.67 250-242 Fair 83-85 C+ = 2.33 241-234 Passing Grade 80-82 C = 2.00 233-228 Minimal passing grade 74-80 F = 0.00 227-0 Failure 73

XII. INSTRUCTIONAL ASSISTANCE:

The professor will be available to answer questions and help participants before, during and after class. Individual appointments are available upon request. Participants are encouraged to talk with the professor if there are unique problems or questions requiring further discussion or clarification.

Participants who wish to explore other possible ways of achieving a desired grade in this course are invited to arrange for an appointment with the professor to further discuss this possibility.

If a participant would like to adopt course assignments to their work setting, such arrangements require an appointment with the professor to finalize topics and modifications to the course requirements.

XIII. STUDENT RESPONSIBILITIES:

Students are responsible for: * acting ethically and professionally, interacting appropriately in class. * participating in class discussions, asking questions as needed. * completing reading assignments prior to scheduled classes. * attending (on time) and actively contributing to all classes. * completing all course assignments and activities as scheduled. * presenting scholarly activities in class. * talking with the professor regarding questions or concerns about assignments, grades, class activities, or other aspects of the course. * reading and following the university plagiarism policy. * adhering to the "Academic Code of Honesty" standards. * adhering to ACHE Code of Ethics. * discussing problems in the course promptly with the professor. * using APA Publication Manual and Style in all written work (5th edition). * preparing all written work on computer using appropriate word processing. XIV. CLASS POLICIES:

1. Class members are expected to attend classes although not compulsory and are responsible for all course material covered on the day(s) missed. Class members should obtain the missed course information from another student. 2. Notice to instructor of late submissions is required. Failure to notify the instructor of a problem concerning an assignment when it is due will result in a 10% reduction in grade for each day the assignment is late. After 9 days, the grade for the assignment will be a zero. 3. No extra credit assignments will be given. 4. Ordinarily, incomplete grades are not given. 5. All written assignments will be evaluated on professional aspects of writing such as grammar, spelling, context, neatness, organization, and overall readability. 6. All written assignments must utilize the APA editorial style. 7. All references must be appropriately cited and plagiarism in any form will result in course failure. Class members are required to read and adhere to the University Code of Honesty.

XV. OFFICE HOURS:

Monday: 7:30-9:30 P.M.; Wednesday: 7:30-9:30 P.M.; Other Hours By Appointment Only

XVI. COMMUNICATION MEDIA

FAX: (570) 941-5882 Telephone: (570) 941-4126 (voice mail) E-Mail: [email protected] Department: (570) 941-4350 Secretaries: Joanne Reichle (7:30-3:30) 941-4350 Michele Heenan (3:30-8:00) 941-4350 Graduate Assistants: Joe Fruhman 941-6237

Contact Address: Daniel J. West, Jr., Ph.D., FACHE, FAAMA, FACMPE Associate Professor Department of Health Administration and Human Resources University of Scranton McGurrin Hall (MGH) 417 Scranton, PA 18510

Atty. Mike Costello, J.D., MBA, FACHE Vice President of Corporate Development Moses Taylor Hospital Scranton, PA 18510 570-340-2021

Dr. Al Minor, DBA, CPA Vice President of Operations Community Medical Center Scranton, PA 18510 570-969-8244

XVII. CLASSROOM LOCATION AND TIME: Thursday: 5:00-8:00 PM, McGurrin Hall, Room 402

 30 classroom contact hours  10 class sessions over 10 weeks (June 5-August 7, 2003) APPENDIX A

Guidelines For Class Participation

A. Participation During Class Sessions (5 points)

Class participation includes the demonstration of involvement in and preparation for classes. Students should attempt to make contributions which build upon the comments of others, and introduce points from the readings or experience which adds to the discussion.

In the course it will not be unusual for the professor to ask questions such as: what was a key point (or a new idea) you learned from your reading this past week? Or, you may be asked to comment on a current health care issue which is being discussed on radio, TV and/or in newspapers, within the context of the course.

If you have particular expertise on a particular topic, share your opinion freely. If you have questions, ask them. Your questions could lead to good discussion. Dominating discussions is not helpful to anyone. Everyone has ideas worthy of consideration. If class members are or plan to become effective health services administrators, it is reasonable to expect that each person can make some worthwhile contribution to every class.

Your class participation grade will be based on the instructor’s subjective assessments of the quality, and to a lesser extent the quantity, of your contributions to the class. Participation is evaluated based on constructiveness of comments in classes, participation in class and problem discussions, suitability of answers to questions, and attendance in class. Collaborative skills are important to a good administrator. Attendance will also be recorded and taken into account in determining the final course grade. Continually dominating discussions will not be viewed favorably.

Your participation is very important in the following:

1. Case method analysis and discussion. 2. Reacting to guest speaker presentations. 3. Professional presentations by colleagues. 4. Small group discussions on specific topics. 5. Questions asked by professor in class.

B. Critical Analysis Report Presentations (10 points)

One (1) ten (10) minute presentation before the entire class based on your reading of scholarly and professional journals. Each presentation is worth 10 points total.

Each presentation must cover in 10 minutes:

1. Summary of Journal Article (2 pts.) 2. Significant Findings (2 pts.) 3. Personal Implications (2 pts.) 4. Relevance to Managed Care (2 pts.) 5. Present a key question for class to consider (2 pts.) and facilitate the discussion Total Points Per Presentation (10 pts.) APPENDIX B

Guidelines For Preparation of a Critical Analysis Report

A. Introduction: A critical analysis report is a comprehensive review of a written work and a personal reaction to this analysis. Experience in making critiques of written works is required for the following reasons:

1. Extensive critical reading helps the student achieve a more comprehensive understanding of the concepts included in the course.

2. Critical analysis of what is read aids one in becoming a more discerning consumer of the literature in the field.

3. Evaluations of what is read assist the student in the comprehension of the implications of the reading content of his particular course of interest and concerns.

4. The written critique helps the student develop the art of effective oral and written communication.

5. Critical analysis provides a factual basis to substantiate professional opinions.

B. General Requirements: Each student is required to review two (2) articles from professional refereed, health care journals. The articles must focus on relevant aspects of health care services and systems.

C. Guidelines for Review Format: 1. All papers are to be typed and double spaced. The paper is to be clear and concise; does not contain errors in spelling, punctuation, or syntax. The paper must be written using the publication style of the American Psychological Association, Publication Manual of the American Psychological Association, 5th edition, 2002. Failure to submit accurate and well written papers will result in a reduced grade.

2. All papers are to be submitted on time to meet specific due dates. (See class outline)

3. At the top of the first page, and on a 3x5 inch index card, the following information must be provided using the listed headings in sequence:

a. Applicable General Topic: b. Title of Article: c. Authors Name: IMPORTANT d. Name of Journal: e. Date of Journal: You are required to submit f. Volume: a copy of the original article g. Number: with the critical analysis report h. Pages (on which article appears): to the professor i. Publisher of Journal:

4. Synopsis and Summary: 100-200 word description of the articles basic content.

5. General Theme: A brief statement about what you felt was the author's general theme of the article.

6. Point of View: A brief statement about what you felt concerning the author's point of view - Was the presentation objective and factual or was the presentation subjective and lacking of facts? Explain your opinion.

7. Issue Analysis: Provide a list of the issues presented in the article.

8. Conclusions and Recommendations: List of author's conclusions and/or recommendations, as well as your own conclusions and/or recommendations.

9. Agreement or Disagreement: Based on the author's conclusions and/or recommendations, do you agree or disagree; provide a brief justification regarding your opinion concerning your agreements and disagreements; use your health care experience(s) to develop this section and your personal research.

10. Professional Projections: Several paragraphs on what you learned from the article and how you will apply this experience (negative or positive) in your professional career. Draw upon your current employment and work experiences to develop your professional position.

D. Guide to Grading of the Critical Analysis Report (CAR): CAR will be graded on a competency basis as follows: a. Appropriate article (2 points) b. Identifying information on first page and 3x5 index card (3 pts.) c. Synopsis and Summary (10 points) d. General theme stated (1 point) e. Point of view stated (2 points) f. Issue analysis stated (2 points) g. Conclusions and recommendation stated (5 points) h. Agreement or disagreement stated (5 points) i. Professional projections stated (5 points)

NOTE: Submit copy of the journal article with your critical analysis report.

E. Specific Requirements: The two (2) reviews are to be selected from two (2) separate managed care topics. Articles must be selected from reputable and refereed health care journals. Articles taken from trade magazines are not acceptable, unless approved in advance by the professor.

F. Penalties:

Failure to submit reviews on specific due dates may result in the deduction of one full grade for each successive class period that the review is not submitted. Failure to submit one or more reviews may result in an "incomplete" given at the time of final grades. Special circumstances requiring an extension of the due dates will be handled on an individual basis with appropriate justification, explanation and/or request stating the particulars and forwarded to the professor for approval. ATTACHMENT C

GUIDELINES FOR CASE METHOD RESEARCH, ANALYSIS AND CONTRACT NEGOTIATIONS

1. A recommendation to the Chairman of the Board will be prepared regarding the managed care contract. The professional report should address the following (worth 100 points):

1. Recommendation and support thereof. 2. Environmental Analysis 3. Discussion of the Economic Impact and Risk with support analysis 4. Legal Review 5. Summary of negotiation process 6. Discussion of delivery network 7. Discussion of what you have learned and recommendations for improvement. 8. Quantitative Analyses 9. Support Documentation

2. All papers will be double-spaced and typed.

3. Guide and grading of case study analysis for contract negotiations. Points a. Recommendation and support there of 5 b. Environmental analysis 10 c. Economic Impact and Risk 10 d. Legal Review 5 e. Summary of Negotiation Process and Points 5 f. Discussion of delivery network 5 40

4. Contract Negotiations and Demonstration of Negotiation skills and techniques.

5. Total points: Case Study Analysis 40 points Professional Paper 100 points Contract Negotiations 60 points 200 points HAD 527 – MANAGED CARE

COURSE SCHEDULE AND LECTURE OUTLINE

Mr. Michael Costello, J.D., MBA, FACHE McGurrin Hall, Room _____ Dr. Allen C. Minor, J.D., CPA, M.S. Thursday: 5:00-8:00 PM Dr. Daniel J. West, Jr., Ph.D., FACHE 2 Credits

______

CLASS SESSION #1 DATE: June 5, 2003 ______

Content:  Introduction of Faculty (3 co-teaching)  Syllabus and Course Outline Reviewed  Course Orientation  Assignments and Project Teams  Historical Overview of Managed Care  Types of Managed Care Organizations and Models  Managed Care Myths and Realities  Medicare and Medicaid Contracting  Management Control and Operations  Models, Products and Services  Role of Government and Payors  Role of Providers and Consumers

Activities: Class Lecture Handouts Case Study Small Group Discussion Q/A Current Events Course Announcements

Readings: Kongstvedt, Chapter 1 Knight, Chapter 1 Reserved Readings

Assignments: Library Research Select Journal Articles ______

Content:  Integrated Delivery Models and Networks  Mergers and Acquisitions  Provider Selection  Network Development  Payment Methodologies and Systems  Financial Issues, Analysis and Budgeting  Relationships of Cost, Quality and Access  Member Services and Benefits Administration

Readings: Kongstvedt, Chapters 2, 3, 4, 18 Knight, Chapter 4 Reserved Readings

Assignments: Prepare Critical Analysis Report #1 ______

Content:  Managing Risk  Risk Assessment and Analysis  Capitation Models and Risk  Pricing Strategies  Contract Development and Analysis  Cost Management Strategies  Evaluation of rates

CAR #1 Due CAR Presentation in Class

Readings: Kongstvedt, Chapters 5, 6, 7 Reserved Readings

Assignments: Team Meetings for Case Study Library Research Read Reserved Articles ______

Content:  Authorizing Laws and Regulations  Regulatory Agencies and Issues  Legal Issues in Provider Contracting  Contract Law  Managed Care Contracting  Contract Provisions and Reviews  Antitrust Considerations  Patient Protection Laws

Readings: Kongstvedt, Chapters 3, 10 Knight, Chapters 8, 9, 14 Reserved Readings

Assignments: Library Research Team Meetings for Case Study Prepare CAR #2 ______

CLASS SESSION #5 DATE: July 3, 2003 ______

Content:  Tort Actions and Liability  ERISA Laws  Medical Management  Provider Credentialing  Credentialing Policies and Procedures  Medical Staff Reporting and Requirements  Authorization Systems  Impact of HIPPA

Activities: Handouts Case Study Small Group Discussion Q/A Current Events Course Announcements

Readings: Kongstvedt, Chapters 10, 16, 19 Knight, Chapters 2, 6, 7, 11 Reserved Readings

Assignments: Team Meetings Library Research CAR #2 Prepared ______

Content:  Developing Capacity to Assess Risk  Authorizing Systems  Data Management  Contract Analysis and Modification Agreements  Data Analysis  Alignment of Incentives  Developing Rates  Developing Proposals for Senior Management  Claims and Benefits Administration

CAR #2 Due

Readings: Kongstvedt, Chapters 11, 12, 17 Reserved Readings

Assignments: ______

Content:  Legal Requirements and Considerations (continued)  Contract Administration  Corporate Compliance  Outcomes Measurement  Role of Governing Bodies  Role of Senior Management  Self-Insured Arrangement  Malpractice Concerns and Contracting

Readings: Kongstvedt, Chapters 13, 15 Knight, Chapters 5, 8, 9 Reserved Readings

Assignments: Case Study Due Next Class ______

Content:  Operational Problems and Reviews  Marketing and Planning Considerations  Provider Satisfaction and Measurement  Customer Service Management  Community Care Models and Managing Care  Negotiation Models and Theory  Negotiating Managed Care Contracts  Negotiation Strategies  Other Conflict Resolution Approaches  Presentation of Case Study

Activities: Handouts Q/A Small Group Discussion Course Announcements Current Events

Case Study Presentations in Class

Readings: Kongstvedt, Chapter 22 Knight, Chapter 13 Reserved Readings

Assignments: Library Research Preparation of Professional Paper Prepare for Negotiations Next Class ______

Content:  Contract Negotiations in Class  Analysis of Contract Negotiations  Presentation of Professional Paper

Professional Paper Due Professional Presentations

Readings: Kongstvedt, Chapter 20 Reserved Readings

Assignments: Demonstrate Negotiation Skills and Competencies ______

CLASS SESSION #10 DATE: August 7, 2003 ______

Content:  Accreditation of HMOs, MCOs, MSOs  Future Managed Care Issues  Integrated Managed Care and Ethics  Liability Reform  Leadership considerations  Medicare and Medicaid Fraud and Abuse  Advocacy in Managed Care  Ethics Committees  Managing Information and Communications Technologies

IDEA Course Evaluations

Readings: Reserved Readings

Assignments: