Objectives
- Explain Medicare, Medicare Advantage, Medicaid, and Medicaid Managed Care
- Describe risk adjustment
Activities
- Class discussion of public insurance programs in the U.S.
- Select a Medicare Advantage plan
- Discussion on Canvas this week
Other Resources
- All About Medicare, Podcast
- All Aboud Medicaid, Podcast
- Healthcare Triage, Pay for Performance
- NEJM Report, What is Pay for Performance
- Kaiser Family Foundation, February 2017, “High-Risk Pools for Uninsurable Individuals”
- Health Affairs article related to adverse selection, August 2020, “Costs are Higher for Marketplace Members who Enroll during Special Enrollment Periods Compared with Open Enrollment”
- ESPN, January 2019, “A New Threat: An Evaporating Insurance Market”
- NPR, December 2018, “Short-Term Health Plans Boost Profits for Brokers and Insurers.”
- Commonwealth Fund, July 2018, “The Effect of Eliminating the Individual Mandate Penalty.”