HCA 320
Essentials of Managed Health Care
Online Course

HCA 320 Essentials of Managed Health Care

3 Semester Units

Essentials of Managed Health Care focuses on health insurance as it impacts the management of healthcare organizations. This course provides a systematic overview of the history of managed healthcare and health insurance in the United States, types of health plans and available payers, the provider network, utilization management, quality management, accreditation, Medicare Advantage, Medicaid managed care, and laws and regulations in health insurance and managed care.

Course Objectives

Upon successful completion of this course, students will be able to:

  • Discuss the major forces shaping health insurance and managed care today.
  • Examine the basic elements of health benefits coverage and provider payment options.
  • Describe the basic components of utilization management for medical services.
  • Explain the Medicare and Medicaid benefit structures.
  • Identify key state and federal laws and regulations governing managed care.
  • Demonstrate proficiency with academic writing related to the essentials of managed care.

If you are interested in taking this course, please explore a degree or certificate program below:

> Explore Health Care Administration Programs

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