1. Know what these key terms mean and how they impact you:
  • Population Management
  • Social determinants of health
  • Interprofessional teams
  • Communication
  • Quality Improvement
  • Health Information Technology
  • Electronic Health Record (EHR)
  • Risk
  • Value-based care
  • Capitation
  • Fee-For-Service

2. Describe two reasons managed care continues to grow in the United States.

3.    What is it that you want to know about managed care?  What are your concerns about managed care?  What kind of things have you heard about managed care?  What are the rumors that you have heard about managed care?  What is it that worries you about managed care?

4.    Define/compare and contrast:  Health Maintenance Organizations (HMOs), Preferred Provider Organization (PPOs), Independent Practice Associations (IPAs), Third Party Administrator (TPA), Capitation and Fee-For-Service (FFS).

5.    Describe how managed care affects the following groups:  Consumers; Patients; Providers; Payors; Health Plans. Describe what laws and public policies, if any, should be considered for each of these groups.

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