Class 1 !
Monday, January 27, 2014 !
! Accountable Care Organization (ACO) is a new type of managed care. !
! There are two exchanges under the ACA. !
! Quality of care is all about money. !
! How do we allocate nancial resources to maximize health of
Class 5: ACOs, Integrated Care and MCOs in the ACA Context (Session 4/7) !
Monday, February 10, 2014 !
! Accountable care seeks to make American healthcare system more
and comprehensive (refer to slide 6 of presentation). !
! Medicare AC
Class 10: Ethics and Managed Care Wednesday, March 5, 2014
! Ethics ! Principles ! Rules ! Action
! The principles of biomedical ethics include: beneficence/nonmaleficence,
respect for autonomy, and justice.
! Privacy is controlling
Class 2: HMOs and Other MCOs !
Wednesday, January 29, 2014 !
Read about the midterm and nal assignments before Class 3 on Monday,
February 3rd. !
! The Key Ingredients of Managed Care !
o Care ! Care management, or utilization of disease management.
- STAFF/GROUP MODEL HMOs- In a staff model HMO physicians are hired
either directly by the HMO or by a separate physician group formed exclusively to
serve that HMO's patients. In a group model plan (sometimes termed pre-paid
group practice or PPGP plans)
February 17, 2014
Assignment 1, Midterm
Managed Care and Health Insurance Dr. Weiner
Employer Based Wellness Programs
Employer based wellness programs (EBWP) are used to improve the health of employees and
control healthcare spending.
The US Managed Care / Health Insurance Industry: !
A Fact Sheet & Glossary of Terms (2014) !
A managed care plan can be dened as an integrated system that manages
health care services for an enrolled population rather than simply providing or
Johns Hopkins University!
1) PREFERRED PROVIDER ORGANIZATIONS (PPOs) - Plans offering
incentives for enrollees to use !
discounted networks of fee-for-service (FFS) providers. (A variant, an exclusive
provider organization -
Class 7: Medicaid, the Uninsured and Managed Care !
Monday, February 17, 2014 !
Johns Hopkins Bloomberg School of Public Health!
- ! Enacted in 1965 as companion legislation to Medicare A and B (Title XIX). !
- ! Guarantees participating s
To: Todd Russell, Chief Executive Officer, Mid-Pacific Container Corporation
From: Matt Stewart, Program Manager, MediFit
Date: March 14, 2014
Re: Employer Based Wellness Program Options
An employer based wellness program (EBW