Course Outline
HCM 742: Financing and Insurance Schemes
Spring 2018 – Fourth Semester, Second Quarter – Week Ends
Isaac El-Mankabadi; BSc, MPH
Introduction
• Participants
– Education
– Experiences
– Expectations (why did you enroll in this course?)
– Contact details – phone and email
• Instructor
– Education
– Experiences
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Learning Objectives
• To understand health care systems
– Types and how it works
– Functions with emphasis on financing including
insurance schemes
• To be aware of concepts/principles of health
insurance, its various types, pros and cons of
each type, prerequisites, etc.
• To be familiar with certain financing and
analytical tools in addition to certain economic
concepts.
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Learning Objectives - Cont.
• To build participants’ analytical skills through
– Critical reading of certain documents
– Project – group work
– Participation in class discussions
• PLEASE READ
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Topics to be covered
• Health Care systems
• Evaluation of health systems
• Health System/Sector Reform (Modernization
or Strengthening)
• Health Care Financing
• Health Insurance
• Financial Sustainability
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Topics to be covered (cont.)
• Break even analysis and short term decision
making with medical applications.
• Major pricing techniques of goods & services.
• Social Protection
• Providers’ Payment Mechanisms (PPM).
• Payment for Performance (P4P).
• Measuring performance.
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Studies
Two studies might be briefly presented within
the course:
• Sustainability of the HIO
• Cost sharing and its impact
• Other studies for reading as National Health
Accounts NHA and others.
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Practicum
Two hands-on exercises:
• Case study for analysis of health care systems
– groups of three
• Critical reading/evaluation, analysis and
implementation of the Social Health Insurance
law – individual paper (2-3 pages – font type
Arial size 12 single space) and class
discussions.
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Course Material
Two main sources:
• PowerPoint presentations – the main source;
• Reading material for additional information
(studies, articles, etc.).
All materials will be sent to you by email .
• Text books.
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Course Schedule
No. Date Topics
1 + (2) 11/10/2018 Outline – Health Systems
(2)+3 + 12/10/2018 Health Systems (cont.) - Evaluation of Health Systems -
4 Health Reform – Health Care Financing
5+6 18/10/2018 Revision – Mid-Term exam – Health Insurance
7+8+ 19/10/2018 Health Insurance in Egypt - Social Protection - Sustainability
9 & BEA - Providers Payment Mechanisms - Payment for
Performance – Measuring Performance – Group Projects –
Revision.
10 4/11/2018 Final Exam - Critical reading to new SHI law
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Evaluation
• Mid-term exam – 30%
• Final exam – 40%
• Practicum – 20%
• Class participation – 10%
Model exam will be sent to you prior Mid-term
examination.
Evaluation based on understanding not
memorization.
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Contacts
• Cell phone: 0122 5662277
• Email: elmankabadi.isaac@gmail.com for
educational activities or
isaac_nm@yahoo.com after finishing the
course.
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THANK YOU
HCM 742: Financing & Insurance Schemes
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