Play Video Hi/300k Lo/56k E-Seminar Trailer (RealVideo Clip)
Home Subjects Resources E-Seminars E-Courses Columbia University
Browse according to your interests Class Websites, Publications, Interviews and more Short Learning Experiences Free to Columbia Semester Length Courses Columbia Homepage and New Media Initiatives
Columbia Interactive SearchHelp
E-Seminars: E-Seminar Detail
 



E-Seminars in This Series

E-Seminar 1
The Roots of Health Care in the United States


E-Seminar 2
Medicare, Medicaid, and the Legacy of the New Deal


E-Seminar 3
The Uninsured


E-Seminar 5
Managed Care in the Public Sector


E-Seminar 6
Long-Term Care


The Politics of Health Care
A Series of Six E-Seminars


 
The Politics of Health Care
E-Seminar 4, Managing the Managed-Care Revolution

Taught by: Michael S. Sparer, Ph.D.

Description
Managed care is not a new model of health insurance in the United States. In the late nineteenth century, some doctors served as prepaid providers, treating company employees in exchange for a set fee. Yet it was not until the 1980s that managed-care plans emerged in the mainstream, enlisting employers and politicians with promises of lower health-care costs and more-coordinated care. In the fourth e-seminar in his series The Politics of Health Care, Michael S. Sparer, associate professor of public health at Columbia University's Mailman School of Public Health, discusses the rise of health-maintenance organizations (HMOs) and other forms of managed care. He reveals the legislative underpinning of managed-care plans and why physicians and health-care consumers have long resisted them. Finally, he explains how efforts by insurers and policymakers to respond to the ongoing managed-care backlash are undermining the ability of managed-care plans to deliver on their initial promises.



E-Seminar Trailer (RealVideo Clip)
Professor Sparer discusses the case of David Goodrich, a California prosecutor who died from stomach cancer in 1995 after his managed-care plan delayed approval for a recommended bone-marrow transplant.

E-Seminar Length: 3-5 hours
Start Date: Anytime
Credits: Not-for-Credit
Prerequisites: None
Moderator: None
Columbia Students, Faculty, Staff, and Alumni: FREE

Interested in this
e-seminar?
Go to the e-seminar now*.

Note: Columbia students, faculty, staff, and alumni will need to use their University Network ID (UNI) to access e-seminars.



E-Seminar Objectives | Outline | Instructor's Background | Recommended Reading | Additional Resources | Technical Requirements

E-Seminar Objectives
•   Learn why managed care has emerged as the dominant form of health insurance in the United States.

•   Understand why there is a consumer and provider backlash against managed care.

•   Explore legislative efforts to impose restrictions on the managed-care industry.

back to top

Outline
1. Introduction
2. A System on the Fringe
3. The Rise of Managed Care
4. Legislating Managed Care
5. The Current Debate
6. Conclusion

back to top

Instructor's Background
Instructor's Background
Michael Sparer is Associate Professor at the Joseph L. Mailman School of Public Health at Columbia University. He has a Ph.D. in political science from Brandeis University and a law degree from Rutgers School of Law (Newark). Professor Sparer studies and writes about the politics of health care with an emphasis on the state and local role in the American health-care system. He is the author of Medicaid and the Limits of State Health Reform (Temple University Press, 1996) as well as numerous articles and book chapters.

back to top

Recommended Reading
Kongstvedt, Peter R. Essentials of Managed Health Care. 4th ed. Gaithersburg, Md.: Aspen, 2001.

Zelman, Walter A. and Berenson, Robert A. The Managed Care Blues and How to Cure Them. Washington, D.C.: Georgetown University Press, 1998.

Rochefort, David A. "The Backlash Against Managed Care." In The New Politics of State Health Policy. edited by Robert B. Hackey and David A. Rochefort. Lawrence: University Press of Kansas, 2001, 113–41.

Gold, Marsha R., ed. Contemporary Managed Care: Readings in Structure, Operations, and Public Policy. Chicago: Health Administration Press, 1998.

back to top

Additional Resources
Sparer, Michael S. and Brown, Lawrence D. "Uneasy Alliances: Managed Care Plans Formed by Safety Net Providers." Health Affairs 19, no. 4 (July/August 2000): 2335.
Health Affairs, the policy journal of Health Sphere.

The Henry J. Kaiser Family Foundation Web site for the Kaiser Commission on Medicaid and the Uninsured.

The Web site of the Urban Institute, a nonpartisan economic and social-policy research organization.

The Web site of the Commonwealth Fund, a private foundation that supports independent research on health and social issues and makes grants to improve health-care practice and policy.

back to top

Technical Requirements
You will need to use a computer with Internet access to complete this course. We recommend the following minimum configurations:

IBM-COMPATIBLE PC
Windows 95, 98, 2000, XP, or NT
64 MB of RAM (128 recommended)
Monitor: 800x600 resolution recommended
Connection: Internet service and 56K modem minimum
Browser: Internet Explorer 4 or above (Internet Explorer 5 strongly recommended) or Netscape 4.7 or above
Sound Card (if you can hear audio you have a sound card)
Plug-ins: RealPlayer 7 or later; Flash Player 5 or later; Acrobat Reader 5 or later
(all plug-ins are free)

MACINTOSH
MAC OS 8.6 or higher
64 MB of RAM (128 recommended)
Monitor: 800x600 resolution recommended
Connection: Internet service and 56K modem minimum
Browser: Internet Explorer 5 or above or Netscape 4.7 or above
Sound Card (if you can hear audio you have a sound card)
Plug-ins: RealPlayer 7 or later; Flash Player 5 or later; Acrobat Reader 5 or later
(all plug-ins are free)

back to top

Help   |   Privacy Policy