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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 4
Managing the Managed-Care Revolution


E-Seminar 6
Long-Term Care


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


 
The Politics of Health Care
E-Seminar 5, Managed Care in the Public Sector

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

Description
In the late 1980s and early 1990s, Medicaid and Medicare policymakers turned to managed care to address skyrocketing health-care costs and accusations of poor-quality care. Medicaid beneficiaries, particularly young women and children, were pushed to enroll in Medicaid managed-care plans. Medicare beneficiaries, on the other hand, used their political clout to largely resist the trend toward managed care. Today, only approximately 14 percent of Medicare beneficiaries—as compared to more than 60 percent of Medicaid beneficiaries—receive some form of managed care. In the fifth e-seminar in his six-part series The Politics of Health Care, Michael S. Sparer, associate professor of public health at Columbia University's Mailman School of Public Health, explores the divergent paths of managed care in the public sector, comparing its respective impact on Medicaid and Medicare to date and discussing its future.



E-Seminar Trailer (RealVideo Clip)
Professor Sparer discusses the tendency of Medicare managed-care beneficiaries to return to their traditional, fee-for-service plans when managed-care plans offer them fewer benefits.

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

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

E-Seminar Objectives
•   Learn why policymakers chose to adopt managed care in the public sector.

•   Understand why managed care has been much more widely adopted among Medicaid recipients than among Medicare recipients.

•   Explore the future of managed care in the public sector, in particular safety-net health plans and Medicare managed care (Medicare + Choice).

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Outline
1. Introduction
2. Medicaid Managed Care
3. The Future of Medicaid
4. The Safety Net
5. Medicare Managed Care
6. The Future of Medicare
7. Conclusion

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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.

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

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

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.

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


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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.

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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)

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