This course reviews the major issues and trends impacting the managed care industry and provides an overview of different types of managed care organizations, considering both provider and payer sponsored systems. The business and financial relationship between managed care organizations and providers is explored. The Affordable Care Act (ACA) is embedded in this course for a clear understanding of its impact on consumer healthcare insurance and benefits.
Prerequisites
HCM2005 or enrolled and in good standing in the RN to BSN or RN to MSN program
Corequisites
None