Reflections on Course Concepts
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MHM502CourseMaterials.docxModule 1
Required Reading
Blumenthal D. (2006). Employer-Sponsored Health Insurance in the United States – Origins and Implications. New England Medical Journal, 355(1), 82-88. Retrieved from ProQuest on 11/21/2012.
Bodenheimer, T. (2005). High and Rising Health Care Costs. Part 1: Seeking an Explanation. Annals of Internal Medicine, 142 (10), 847-854. Available at: http://annals.org/article.aspx?articleid=718406
Choudhry, N., Rosenthal, M. & Milstein, A. (2010). Assessing the Evidence for Value-Based Insurance Design. Health Affairs, 29 (11), 1988-1994. Retrieved from ProQuest on 11/21/2012.
Claxton, G. (2008). How Private Health Care Coverage Works: A Primer. A Henry J. Kaiser Family Foundation Report. Available at http://www.kff.org/insurance/upload/7766.pdf (Retrieved 11/21/2012)
Eibner, C., Hussey, P., & Girosi, F. (2010) The Effects of the Affordable Care Act on Workers’ Health Insurance Coverage. New England Journal of Medicine, 363 (15), 1393-1395. Available at Trident University Online Library.
RAND Corporation. (2010). US Health Care Today: Coverage. Available at http://www.randcompare.org/us-health-care-today/coverage#current-levels-of-coverage (Retrieved 11/21/2012)
Required Website
Kaiser Family Foundation (2009). Health Insurance and Access to Health Care: the Evidence. Available at: http://kff.org/interactive/health-insurance-and-access-to-health-care-tutorial/
Module 2
Required Reading
Kaiser Family Foundation. (2010). Medicare: A Primer. Available at https://www.kff.org/interactive/medicare-101-tutorial/
Kaiser Family Foundation. (2010). Medicare at a Glance. Available at https://kaiserfamilyfoundation.files.wordpress.com/2014/09/1066-17-medicare-at-a-glance.pdf
Medicare Payment Advisory Commission. (2016). Context of Medicare Payment Policy. In Report to Congress: Medicare Payment Policy. Washington: The Commission. Retrieved from http://www.medpac.gov/docs/default-source/reports/march-2016-report-to-the-congress-medicare-payment-policy.pdf?sfvrsn=0
Newhouse, J. (2010). Assessing Health Reform's Impact on Four Key Groups of Americans.Health Affairs, 29 (9), 1714-1724. Available at https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2010.0595
Zarabozo, C., & Harrison, S. (2009). Payment Policy and the Growth of Medicare Advantage. Health Affairs, 28 (1), W55-W67. Retrieved from ProQuest on 11/21/2012.
Required Website
Kaiser Family Foundation (2010). Health Reform and Medicare: Overview of Key Provisions. Available at: http://kff.org/interactive/health-reform-and-medicare-overview-of-key-provisions-tutorial/
Kaiser Family Foundation (2009). Medicare 101: the Basics. Available at https://www.kff.org/medicare/event/medicare-101-what-you-need-to-know-2015/
Module 3
Required Reading
Kaiser Commission on Medicaid and the Uninsured. (2011). Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform. http://www.kff.org/medicaid/upload/8162.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2011). Top 5 Things To Know About Medicaid. http://www.kff.org/medicaid/upload/8139.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2010). Medicaid: A Primer. Available at http://www.kff.org/medicaid/upload/7334-04.pdf (Retrieved 11/21/2012)
Kaiser Commission on Medicaid and the Uninsured. (2010). The Medicaid Program at a Glance. Available at https://reachhealth.org/wp-content/uploads/2010/09/7235-04.pdf (Retrieved 11/21/2012)
Mortensen, K. (2010). Copayments Did Not Reduce Medicaid Enrollees' Nonemergency Use of Emergency Departments. Health Affairs, 29 (9), 1643-1650. Retrieved from ProQuest on 11/21/2012.
Sommers, B. (2010). Enrolling Eligible Children in Medicaid and CHIP: A Research Update. Health Affairs, 29 (7), 1350-1355. Retrieved from ProQuest on 11/21/2012.
Decker, S.. (2009). Changes in Medicaid Physician Fees and Patterns of Ambulatory Care. Inquiry, 46(3), 291-304. Retrieved from ProQuest on 11/21/2012.
Required Website
Kaiser Family Foundation (2010). Health Reform: How will Medicaid Change? Available at: http://kff.org/interactive/health-reform-how-will-medicaid-change-tutorial/
Kaiser Family Foundation (2009). Medicaid 101. Available at: http://kff.org/interactive/medicaid-101-tutorial/
Module 4
Required Reading
Medicare Payment Advisory Commission. (2016). Medicare Payment Basics: Hospital Acute Inpatient Services Payment System. Available at: http://www.medpac.gov/docs/default-source/payment-basics/medpac_payment_basics_16_hospital_final.pdf
Medicare Payment Advisory Commission. (2014). Medicare Payment Basics: Outpatient Hospital Services Payment System. Available at http://www.medpac.gov/docs/default-source/payment-basics/medpac_payment_basics_16_opd_final.pdf?sfvrsn=0
Centers for Medicare and Medicaid. (2010). Hospital Outpatient Prospective Payment System. The Medicare Learning Network Payment Systems Fact Sheet Series. Available at http://www.cms.gov/MLNProducts/downloads/HospitalOutpaysysfctsht.pdf (Retrieved 11/21/2012)
Centers for Medicare and Medicaid. (2009). Acute Care Hospital Inpatient Prospective Payment System. The Medicare Learning Network Payment Systems Fact Sheet Series. Available at http://www.cms.gov/MLNProducts/downloads/AcutePaymtSysfctsht.pdf (Retrieved 11/21/2012)
Medicare Payment Advisory Commission. (2014). Physician and Other Health Professionals Payment System. Available at http://www.medpac.gov/docs/default-source/payment-basics/medpac_payment_basics_16_physician_final.pdf?sfvrsn=0
Centers for Medicare and Medicaid. (2014). Medicare Physician Fee Schedule. The Medicare Learning Network Payment Systems Fact Sheet Series. Available at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MedcrephysFeeSchedfctsht.pdf
Guterman, S., Davis, K., Stremikis, K., & Drake, H. (2010). Innovation in Medicare and Medicaid Will Be Central to Health Reform's Success. Health Affairs, 29 (6), 1188-93. Retrieved from ProQuest on 11/21/2012.
Lesser, C., Fineberg, H., & Cassel, C. (2010). Physician Payment Reform: Principles That Should Shape It. Health Affairs, 29 (5), 948-952. Retrieved from ProQuest on 11/21/2012.
Wilensky, G. (2009). Reforming Medicare's Physician Payment System. New England Journal of Medicine, 360 (7), 653-655. This item is available in full text via the University library.
