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Topic 3: Government and Insurance

Objectives:

1. Distinguish between the public interest theory and the special interest theory of government intervention.
2. Describe how private insurers and government payers influence actual reimbursement, payment for services, and methods of payment.
3. Describe how the market has influenced the need for integrated delivery systems.

Assessment Description

The public interest theory and the special interest theory of government intervention have their similarities and differences. Compare and contrast these two theories and provide a recent example of each.

Essentials of Health Economics

Dewar, D. M. (2017). Essentials of health economics (2nd ed.). Burlington, MA: Jones and Bartlett Learning. ISBN-13: 9781284054620

Government and Policy for U.S. Health Leaders

Higbea, R., & Cline, G. (2021). Government and policy for U.S. health leaders (2nd ed.). Burlington, MA: Jones and Bartlett Learning. ISBN-13: 9781284207767 (Available as a custom eBook – includes only Chapter 6)