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所在平台: Coursera |
课程主页: https://www.coursera.org/learn/medicaid-policy-politics
课程评论：没有评论
课程名称：医疗补助政策与政治 课程概述：医疗补助是一个政府项目，为低收入美国人提供医疗保健。该课程讨论联邦政府、各州及私人系统如何相互作用，以资助、监管和提供该体系下的医疗保健。我们建立法律的基本历史和结构，并概述资金来源、趋势、州之间的异同，以及一些州在医疗保健中整合健康社会决定因素的尝试。课程最后部分将进行总结。 课程大纲： 1. **医疗补助与政府** - 本模块重点介绍医疗补助在政府系统中的位置，提供医疗补助的基本概述和历史背景，从大家可能已经熟悉的一些基础知识开始，快速建立对政策决策过程的理解。 2. **医疗服务系统与管理医疗** - Kirin和Asha讨论医疗服务交付系统，重点在管理医疗。管理医疗是一种交付系统，由第三方管理医疗组织（MCO）协调成员的护理，州医疗补助机构向MCO支付费用，而不是直接向提供者支付。 3. **州计划** - Kirin和Asha讨论州计划，这些计划是设立州医疗补助项目所有重要细节的蓝图，并谈论州计划如何修订以及在何种情况下州可以请求“打破规则”的豁免。 4. **健康的社会决定因素（SDoH）** - Kirin和Asha讨论各州医疗补助项目如何越来越超越提供传统医疗服务，增加改善成员健康的项目和服务，例如健康住房、可靠交通和营养食品。 5. **医疗补助融资** - 本模块中，Kirin和Asha讨论联邦对医疗补助资金的贡献是如何计算的，州预算的运作方式，以及有关医疗补助支出和结构的政策论辩。 6. **亚利桑那州的医疗补助（可选）** - Kirin和Asha深入探讨一个州的情况。第一部分概述亚利桑那州医疗保健成本控制系统（AHCCCS），包括历史、机构结构、对国家趋势的影响、所提供的福利、成本及双重合格人群。第二部分特邀嘉宾Markay Adams解释了部落医疗系统与亚利桑那州医疗补助的交集。
Name:Medicaid and the Government
Description:This first module focuses on how Medicaid fits into government systems, a basic overview of Medicaid, and the historical context. We start with some basics you may already be familiar with, but quickly build upon them as a foundation for understanding where policy decisions are made.
Name:Delivery Systems & Managed Care
Description:Kirin and Asha discuss healthcare delivery systems, focusing on managed care – a delivery system in which third party managed care organizations (MCOs) coordinate care for members and the state Medicaid agency pays MCOs rather than paying providers directly.
Name:State Plans
Description:Kirin and Asha discuss state plans, which are the blueprints for establishing all important details about how a state structures and administers its Medicaid program. We also talk about how state plans can be amended and circumstances under which a state can request permission to "break the rules" using a waiver.
Name:Social Determinants of Health (SDoH)
Description:Kirin and Asha talk about how state Medicaid programs are increasingly going beyond providing traditional healthcare services and adding programs and services that improve member health through things like healthy housing, reliable transportation, and nutritious food.
Name:Medicaid Finance
Description:In this module, Kirin and Asha discuss how the federal contribution to Medicaid funding is calculated, how state budgets work, and what policy arguments are made with regard to Medicaid spending and structure.
Name:Medicaid in Arizona (optional)
Description:Kirin and Asha visit a single state in more depth. Part I gives an overview of the Arizona Healthcare Cost Containment System (AHCCCS), including: the history, structure of the agency, its influence on national trends, the benefits provided, costs, and the dual eligible population. In part II, special guest Markay Adams explains how the tribal healthcare system intersects with Medicaid in Arizona.
Medicaid is a government program that pays for the healthcare of low-income Americans. In this course, we discuss how the federal government, individual states, and private systems interact to fund, regulate, and deliver healthcare under this system. We establish a basic history and structure under the law, and give a general overview of funding, trends, similarities and differences between states, and some states' attempts to integrate social determinants of health into healthcare. It ends with
