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The Economics of Health Care Delivery

Ezekiel J. Emanuel, MD, PhD and Guy David, PhD

In this course, you’ll learn about the key components of health care, and the economics behind their principles and pricing strategies. Professors Ezekiel Emanuel of Penn Medicine and Guy David of the Wharton School have designed this course to help you understand the complex structure of the health care system and health insurance. Through study and analysis of providers and insurance through an economic lens, you’ll learn how basic economic principles apply to both principles and payment methods. By the end of this course, you’ll be able to identify different types of health care providers and understand the dynamic between the providers and patient so you can employ best practices and maximize profit for your health care organization.

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What's inside

Syllabus

Module 1
This module was designed to give you a deeper understanding of the history and structure of the American health care system. You’ll begin by examining the history of health care providers and improvements in health care technology throughout the years. Then you’ll look at the different evolutions of insurance throughout history, the purpose of health insurance, and the inherent issues and solutions within the concept of insurance. You’ll learn key aspects of Medicare, Medicaid, and other government programs that increase access to health care. Then, you’ll evaluate the Iron Triangle of Health Care—quality, cost, and access—and the main areas of focus and tension for health care policy. By the end of this module, you’ll have a richer understanding of the growth of health care providers, insurance, and government programs and their impact on health care access.
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Module 2
In this module, you’ll be introduced to the concept of insurance, and focus more closely on the structure and components of insurance. You’ll also learn what determines the size of an insurance premium and why people demand health insurance. Through analyzing the problem of moral hazard and asymmetric information, you’ll accurately measure the impact of cost-sharing arrangements, such as deductibles and copays. By the end of this module, you’ll be able to identify why people are willing to pay insurance, how companies quantify how much people are willing to pay for insurance, and effectively discover solutions to both asymmetric information and adverse selection.
Module 3
In this module, you’ll examine the role of the physicians and hospitals in the health care ecosystem. You’ll explore the different types and payment methods for both physicians and hospitals, and how hospitals utilize these methods to maximize profit. Through analyzing the Health Care Value Chain and Principal-Agent Problem from Economics, you’ll be able to establish the unique importance of physicians in the health care markets as a perfect agent, and the different approaches and implications of this relationship. You’ll also gain a general overview of the characteristics that define hospitals, the effects of different trends on the decline in number of beds in hospitals, and two common hospital practices to address this issue: cost shifting and cross subsidization. By the end of this module, you’ll be able to better understand the role of physicians and hospitals in health care markets and employ best practices and maximize profit for your health care organization.
Module 4
In this module, you’ll explore a range of other health care providers outside of physicians and hospitals. Through the examination of different examples of post-acute care such as hospices, you’ll develop a better understanding of the shift toward holistic care and support in post-acute care providers. You’ll also discover the benefits of vertical integration, and how you can better allocate resources and offer competitive pricing. Finally, you’ll be introduced to the methods of government intervention in health care and learn more about various antitrust legislations such as the Sherman Act, the Clayton Antitrust Act, and Federal Trade Commission Act. By the end of this module, you’ll have a deeper understanding of the health care ecosystem, and how various providers of health care affect each other within that system.

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Explores the fundamentals of healthcare, including providers, economics, and insurance principles
Suitable for individuals seeking a comprehensive understanding of healthcare economics and its impact on patients and providers
Taught by renowned instructors Ezekiel Emanuel and Guy David, providing expert insights into healthcare policy and economics
Course materials include a blend of videos, readings, and discussion forums, enhancing engagement and comprehension
Structured with clear modules and assessments, ensuring progressive learning and reinforcement
Requires foundational knowledge in healthcare or economics to fully grasp the complexities discussed

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Reviews summary

Well-received economics of health care delivery

Learners largely positive in their reviews of this course, describing it as informative and well-organized. They say it provides a clear understanding of the economics behind health care delivery in the US. Many students were new to health economics, but found the course accessible and easy to follow. Reviewers noted that the instructors were knowledgeable and articulate, using clear examples to illustrate complex concepts. They especially appreciated the use of visual aids and real-world examples. Overall, students recommend this course to anyone interested in learning about the economics of health care delivery.
Use of visual aids and real-world examples helped illustrate complex concepts
"This was a great overview of the healthcare sector and establishing an understanding of payment models that are not discussed in medical school. Visual aids helped to discuss and display concepts."
"I enjoyed the lecturer's commentary and appreciated that they gave simple examples to explain each concept."
"Very well organised. Key concepts were explained clearly with graphics and examples."
Instructors were knowledgeable, articulate, and used clear examples
"Both instructors were articulate and knowledgable"
"However, I need a capable understanding for my vocation. The instructors present the complexity of the material in an accessible way."
"Amazing and clear insights on the industry dynamics. I would recommend it to everyone who wants to learn the basics and build a solid foundation in delivering an economically viable healthcare to their respective systems."
Course is well-organized and easy to follow
"This course has a very well organized structure to follow. "
"I enjoyed these lectures, the course was easy to follow and followed a logical progression"
"Very in depth picture of the American Health Care System. I suggest other health systems can be included also for foreign students."
Course is accessible and easy to follow, even for beginners in health economics
"I had pre-existing knowledge of health economics but this taught me more than I'd imagine."
"I made a career change from financial services into healthcare and was actively searching for an explanation of the healthcare model."
"As a nursing student, this course has been incredibly informative and has allowed me to develop a deeper understanding of how healthcare insurance works."
Provides a clear understanding of the economics behind health care delivery in the US
"Very informative and a great over view of the players in health care delivery, now what class do I take to fix the U.S. healthcare system, so daunting, we need answers that improve quality yet reduce cost."
"Very informative and helped a lot with learning history of healthcare"
"The entire course was easy to understand and was very informative to understand the current landscape of the healthcare industry."

Career center

Learners who complete The Economics of Health Care Delivery will develop knowledge and skills that may be useful to these careers:
Healthcare Consultant
Healthcare Consultants provide expert guidance to healthcare organizations on improving their operations, efficiency, and profitability. The Economics of Health Care Delivery can help you develop the skills and knowledge needed to succeed in this role by providing a deep understanding of the healthcare system, payment methods, and provider dynamics. You'll learn how to analyze healthcare data, identify areas for improvement, and make recommendations that drive positive outcomes for healthcare organizations.
Health Insurance Actuary
Health Insurance Actuaries use mathematical and statistical techniques to assess the financial risks and costs associated with health insurance plans. The Economics of Health Care Delivery can provide you with a solid foundation in the principles of insurance, pricing, and risk management. You'll learn how to analyze claims data, develop pricing models, and make recommendations that help health insurance companies make informed decisions.
Healthcare Administrator
Healthcare Administrators oversee the daily operations of healthcare facilities, including hospitals, clinics, and nursing homes. The Economics of Health Care Delivery can help you understand the financial and operational challenges facing healthcare organizations. You'll learn how to manage budgets, allocate resources, and implement policies that improve patient care and organizational efficiency.
Healthcare Policy Analyst
Healthcare Policy Analysts research and analyze healthcare policies to inform decision-making at local, state, and federal levels. The Economics of Health Care Delivery can provide you with a comprehensive understanding of the healthcare system and the economic factors that shape policy decisions. You'll learn how to assess the impact of policies on healthcare access, quality, and cost.
Health Economist
Health Economists apply economic principles to analyze healthcare issues, such as the cost-effectiveness of medical treatments, the impact of health insurance on healthcare utilization, and the determinants of health outcomes. The Economics of Health Care Delivery can provide you with a strong foundation in health economics and equip you with the tools to conduct rigorous research and analysis.
Pharmaceutical Sales Representative
Pharmaceutical Sales Representatives market and sell pharmaceutical products to healthcare providers. The Economics of Health Care Delivery can help you gain a better understanding of the healthcare industry, including the role of pharmaceutical companies and the factors that influence drug pricing. You'll learn how to effectively communicate the benefits of pharmaceutical products to healthcare providers and build strong relationships with key decision-makers.
Medical Underwriter
Medical Underwriters assess the risk of issuing health insurance policies to individuals and groups. The Economics of Health Care Delivery can provide you with a deeper understanding of the insurance industry and the factors that influence underwriting decisions. You'll learn how to evaluate medical information, assess risk factors, and determine appropriate premiums.
Healthcare Market Researcher
Healthcare Market Researchers conduct research to understand the needs of healthcare consumers and providers. The Economics of Health Care Delivery can help you develop the skills and knowledge needed to conduct market research in the healthcare industry. You'll learn how to design and implement surveys, analyze data, and identify trends that can inform marketing strategies.
Healthcare Data Analyst
Healthcare Data Analysts collect, analyze, and interpret healthcare data to improve patient care and organizational efficiency. The Economics of Health Care Delivery can provide you with a solid foundation in healthcare data analysis. You'll learn how to use statistical software, interpret complex data, and communicate findings to stakeholders.
Healthcare IT Specialist
Healthcare IT Specialists design, implement, and maintain information technology systems for healthcare organizations. The Economics of Health Care Delivery can help you gain a better understanding of the healthcare industry and the role of technology in improving healthcare delivery. You'll learn about the challenges and opportunities associated with implementing and managing healthcare IT systems.
Healthcare Compliance Officer
Healthcare Compliance Officers ensure that healthcare organizations comply with all applicable laws and regulations. The Economics of Health Care Delivery can provide you with a comprehensive understanding of the healthcare industry and the regulatory environment in which it operates. You'll learn about the importance of compliance and how to implement effective compliance programs.
Physician Assistant
Physician Assistants are licensed healthcare professionals who practice medicine under the supervision of a physician. The Economics of Health Care Delivery can provide you with a better understanding of the healthcare system and the role of Physician Assistants within it. You'll learn about the challenges and opportunities facing Physician Assistants and how to provide high-quality patient care in a variety of settings.
Nurse Practitioner
Nurse Practitioners are licensed healthcare professionals who provide a wide range of healthcare services, including diagnosing and treating illnesses, prescribing medications, and ordering tests. The Economics of Health Care Delivery can provide you with a better understanding of the healthcare system and the role of Nurse Practitioners within it. You'll learn about the challenges and opportunities facing Nurse Practitioners and how to provide high-quality patient care in a variety of settings.
Registered Nurse
Registered Nurses provide direct patient care in a variety of settings, including hospitals, clinics, and nursing homes. The Economics of Health Care Delivery can provide you with a better understanding of the healthcare system and the role of Registered Nurses within it. You'll learn about the challenges and opportunities facing Registered Nurses and how to provide high-quality patient care.
Licensed Practical Nurse
Licensed Practical Nurses provide basic nursing care under the supervision of a Registered Nurse or other healthcare professional. The Economics of Health Care Delivery can provide you with a better understanding of the healthcare system and the role of Licensed Practical Nurses within it. You'll learn about the challenges and opportunities facing Licensed Practical Nurses and how to provide high-quality patient care.

Reading list

We've selected 11 books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in The Economics of Health Care Delivery.
This authoritative handbook offers a comprehensive and in-depth examination of the field of health economics. It covers a wide range of topics, including health insurance, provider behavior, and the economics of aging, providing a valuable reference for advanced students and researchers.
Provides a comprehensive overview of health economics. Serves as a valuable reference tool for professionals in the healthcare industry.
A classic textbook on the economics of health and healthcare. Provides a comprehensive overview of the field.
This forward-looking book emphasizes the importance of value-based health care, which is becoming increasingly important in the healthcare system. It offers practical strategies for improving the quality and reducing the cost of healthcare delivery.
Presents a comprehensive and up-to-date analysis of the key economic issues in the health care sector.
This comprehensive guide to health insurance covers its history, design, and regulation. It provides valuable insights into the complex world of health insurance, which key component of the course.
This thought-provoking book explores disruptive innovation in health care, offering fresh perspectives and ideas for transforming the system. It provides valuable insights beyond the traditional economic models covered in the course.

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