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Syllabus and Associated Databases


U.S. Health and Healthcare Policy

Source: RAND State Statistics (Sept. 18, 2016)


    Past to Present: U.S. Healthcare

    Module Content Database(s)
    Overview Growth of healthcare spending; Debt; Ethics
    Medicare 1965 legislation; Eligibility and covered population; Part A-D + payment structures; Covered services; Pricing (DRGs, Part B/Average Sales Price); Financing & the future
    Medicaid 1965 legislation; Eligibility and covered population; State-federal partnership; Covered services; Pricing (340B); Financing; Issues (state + physician participation, expansion); CHIP; Continuing political discussions; Dual eligibles; Medicaid Rebate Program
    Private Insurance Evolution of employer-based insurance
    • Forthcoming
    Other Public Programs Introduction to Veteran?s Health Admin
    • Forthcoming

    Pharma, Providers, and Payers: Stakeholders in Healthcare

    Module Content Database(s)
    Pharma & FDA Clinical trials process; Pricing; Off-label promotion; Patents; Brand vs. generic; R&D economics
    • Forthcoming
    FDA Kefauver amendment; Approval process; Post-approval regulation;
    • Forthcoming
    Providers, Hospitals, Pharmacy Hospitals; ER costs; Safety nets; Group purchasing orgs; Specialty pharmacy providers; Institutional payers; Integrated delivery networks/health systems (Kaiser, Geisinger)
    Private & Public Payers Private insurance coverage; Reimbursement; Clinical policy; Types of plans (HMO, PPO, point of service, high deductible health plans); P&T committee/formulary decisions
    Nat?l Agencies European (NICE, IQWIG, EMA, HAS); Other bodies (AHRQ)
    • Forthcoming

    Evaluating Healthcare

    Module Content Database(s)
    Quality of Care Pay for Performance; Racial/ethnic/socioeconomic disparities in outcomes
    • Forthcoming
    Economics Drivers of spending growth; Ways of slowing growth; Moral hazard;
    • Forthcoming
    Evaluating Systems Cost-effectiveness (ICER, QALY), budget impact, health outcomes (mortality, chronic disease incidence)
    Types of Systems Beveridge (U.K.); Bismark (Germany); National Health Insurance (Canada/Taiwan/S.Korea); Out of pocket (developing nations); Mix (U.S.)
    • Forthcoming

    Healthcare Reform and the Future of Healthcare

    Module Content Database(s)
    ACA Individual mandate; Employer mandate; Marketplaces; Subsidies; Medicaid expansion; Financing; Insurance reform; Delivery innovation (ACOs, bundled payments); SCOTUS
    • Forthcoming
    Cost Control Payment model reform, clinical policies, care pathways, high-cost drugs + patients, billing variability; Specialists vs. PCP

    Gaps in Care Social determinants of health; Uninsured; Underinsured; Language access; Minority health; Trends in public health (obesity, cancer, chronic disease)
    Healthcare Technology Electronic health records; Rise of medical devices + apps
    • Forthcoming
    Mortality End of life care costs; Advanced directives; Assisted suicide; Long term care services; Nursing homes
    • Forthcoming
    Politics Party positions; Ethics & healthcare rights (stem cell research, abortion, privacy)
    • Forthcoming