HEALTH INSURANCE AND HEALTH SERVICES MANAGEMENT

Course Director:
Professor Reinhard Busse MD PhD
Professor Don Hindle, MD PhD

Hours

Total: 14 (Lectures - 8; Seminars – 6;) ECTS: 2.1

Course Description

European health insurance systems; supplementary and private health insurance in Europe and in transition countries; service contracting and purchasing, and insurance contract supervision; legal risk damages in health insurance; health insurance coverage trends.The purpose of risk management is to create and maintain a safe and properly insured health services environment, and to contain insurance costs.

Risk management; preventive measures; insurance market; risk management competence; risk management in clinical records evaluation; the role of risk manager in contractual relationships; the role of CEO in risk management programs.

Assessment

Written Examination

Recommended Readings

1. Busse R, Schwartz FW. The Philippines national health insurance act - a German perspective. International Journal of Health Planning&Management. 12(2):131-148. 1997 Apr-Jun.

2. Busse R, Schwartz FW. Financing reforms in the German hospital sector - from full cost cover principle to prospective case fees. Medical Care. 35(10 Suppl S):OS 40-OS 49, 1997 Oct.

3. Wismar M, Busse R. Outcome-related health targets - political strategies for better health outcomes - A conceptual and comparative study (Part 2). Health Policy. 59(3):223-241, 2002 Mar.

4. Busse R. Risk structure compensation in Germany's statutory health insurance. European Journal of Public Health. 11(2):174-177, 2001 Jun.

5. Perleth M, Jakubowski E, Busse R. What is "best practice" in health care? State of the art and perspectives in improving the effectivenes and efficiency of the European health care systems. Health Policy. 56(3):235-250, 2001 Jun.

6. Busse R. Priority-setting and rationing in German health care. Health Policy. 50(1-2):71-90, 1999 Dec

7. Health Insurance in Transition, 2nd Dubrovnik Summer School, Readings. 6-11 September, 1998.

8. O. Carrasquilo, D. U. Himmelstein, S. Woolhandler, D. H. Bor. Going Bare: Trends In Health Insurance Coverage, 1898 Through 1996; American Journal of Public Health, January 1999, Vol.89, No. 1.

9. Rene I. Jahiel. Toward Health Status Insurance: International Health Policy Research; Croatian Medical Journal 1999; 40: 129-142.


10. Alain Enthoven, Richard Kronick. A Consumer-Choice Health Plan for the 1990s: Universal Health Insurance in a System Designed to Promote Quality and Economy; The New England Journal of Medicine, Vol.320; No.1. Jan.5, 1989.

11. Alain Enthoven, Richard Kronick. A Consumer-Choice Health Plan for the 1990s: Universal Health Insurance in a System Designed to Promote Quality and Economy; The New England Journal of Medicine, Vol.320; No.2. Jan.12, 1989.

Download materials

Croatia_Presentation_26_March_2003.zip
CroatiaPresentation26March2003.zip
HC-control-mechanisms-Parkes.zip
HealthfinancinginAust-KBCroatia.zip
LjubicaManagement.zip
Managed_Health_Insurance.zip
ManagedHealthInsurance.zip
MirjanaManagement.zip
Presentation_12.zip
Redizajn_Sibenske_bolnice.zip
ugovaranjeManagement.zip
Vuckovickontrola.zip
zagreb250303.zip
Zagreblecture26Mar03Amaeda.zip
ZDRAVSTVENISUSTAV.zip
Busse-i-health-ins-hr.ppt
Busse-Soc-ins-hr.ppt
Osiguranja Addenda.zip
VRSTE ZDRAVSTVENIH OSIGURANJA.ppt
The effects of increased private health insurance - Listopad 2006. prof. Don Hindle.pdf
The new Massachusetts Health Reform - Listopad 2006. prof. Don Hindle.doc
The scenario - Listopad 2006. prof. Don Hindle.doc