Health Economics (Healthcare Economics and Innovation)

  1. Health Insurance Markets and Design
    1. Insurance Theory Fundamentals
      1. Risk and Uncertainty
        1. Expected Utility Theory
          1. Risk Aversion
            1. Measuring Risk Aversion
              1. Risk Premiums
              2. Demand for Insurance
                1. Optimal Insurance Coverage
                  1. Deductibles and Coinsurance
                  2. Risk Pooling
                    1. Law of Large Numbers
                      1. Community Rating
                        1. Experience Rating
                      2. Insurance Market Failures
                        1. Adverse Selection
                          1. Death Spiral
                            1. Rothschild-Stiglitz Model
                              1. Empirical Evidence
                                1. Solutions to Adverse Selection
                                2. Moral Hazard
                                  1. Theoretical Models
                                    1. Empirical Evidence
                                      1. Optimal Insurance Contracts
                                      2. Risk Selection
                                        1. Cream Skimming
                                          1. Dumping
                                            1. Risk Adjustment
                                          2. Health Insurance System Models
                                            1. Private Insurance Markets
                                              1. Individual Insurance
                                                1. Underwriting
                                                  1. Medical Underwriting
                                                    1. Guaranteed Issue
                                                    2. Group Insurance
                                                      1. Employer-Sponsored Insurance
                                                        1. Tax Treatment
                                                          1. Job Lock
                                                        2. Social Insurance Programs
                                                          1. Medicare
                                                            1. Part A (Hospital Insurance)
                                                              1. Part B (Medical Insurance)
                                                                1. Part C (Medicare Advantage)
                                                                  1. Part D (Prescription Drugs)
                                                                  2. Medicaid
                                                                    1. Eligibility Criteria
                                                                      1. Benefits and Services
                                                                        1. Federal-State Partnership
                                                                        2. Other Public Programs
                                                                        3. Managed Care Organizations
                                                                          1. Health Maintenance Organizations
                                                                            1. Staff Model
                                                                              1. Group Model
                                                                                1. Network Model
                                                                                  1. Independent Practice Association
                                                                                  2. Preferred Provider Organizations
                                                                                    1. Point of Service Plans
                                                                                      1. Managed Care Evolution
                                                                                    2. Insurance Benefit Design
                                                                                      1. Cost-Sharing Mechanisms
                                                                                        1. Premiums
                                                                                          1. Deductibles
                                                                                            1. Copayments
                                                                                              1. Coinsurance
                                                                                                1. Out-of-Pocket Maximums
                                                                                                2. Consumer-Directed Health Plans
                                                                                                  1. High-Deductible Health Plans
                                                                                                    1. Health Savings Accounts
                                                                                                      1. Health Reimbursement Arrangements
                                                                                                        1. Flexible Spending Accounts
                                                                                                        2. Value-Based Insurance Design
                                                                                                          1. Tiered Formularies
                                                                                                            1. Reference Pricing
                                                                                                              1. Wellness Incentives
                                                                                                              2. Network Design
                                                                                                                1. Provider Networks
                                                                                                                  1. Narrow Networks
                                                                                                                    1. Tiered Networks