فهرست جلسات مربوط به دوره عملکرد بیمه ای در مبحث  کارکرد بیمه در نظام سلامت

ردیف	تاریخ	عنوان گفتار	Topic	اسلایدهای بدون صدا	اسلایدهای با صدا	pdf	note	Extra
مجموعه  کارکرد بیمه در نظام سلامت
1	92/09/02		Introduction to Health Insurance
What Is Risk? Illness and Insurance Why Insurance? Risk Aversion About Health Problems Why Insurance Increase Welfare Different Kinds of Risks Definition Health insurance Insurance Logic Expected value of decision tree Risk vs. Uncertainty
2			Insurance as a Sub-Function of Finance
Relations between functions and objectives of a health system Sub-functions of health system financing Revenue Collection Different ways of collecting Revenues Pooling Purchasing Health insurance Pre-payment Alternative options for financing health care systems Factor of income: subsiding the poor Importance of Direction of Subsidy Pooling to redistribute risk cross-subsidy for greater equity Financing Organizations Health Policy and Insurance
3			Sources of Financing in Health Insurances
Tax-financing Social security contributions Social health insurance premiums Private-premiums Private for Profit Private-non-Profit Non-Government, Community-based Fund Prepayment and Collection The level of prepayment
4			Level of Compulsion in Health Insurances
Mandatory vs. Voluntary Level of compulsion on participation to the scheme Mandatory participation in a single insurance scheme Mandatory participation in a health insurance scheme, but freedom of choice Participation by the conditions of employment Participation entirely voluntary
5			Premium Calculation in Health Insurances
Method of premium calculation in health insurance Community rating achieves redistribution in two ways Experience rating is far less redistributive The Burden of Financing Health Care
6			Classification of Health Insurances
Group or personal health insurance Classification of health insurance models Health insurance mix Mandatory health insurance schemes financed by individual, flat premiums Private health insurance schemes with public subsidy Government-linked health insurance schemes for government employees
7			Management and Administration of Health Insurances
Management and administration of the insurance scheme Public or Private: Management vs. Funds Relationship across insurers (competitive or not) Contractual relationship with providers
8			Private Health Insurance
Defective Insurance Coverage Non-financial barriers to health care Functional classification of private health insurance schemes Primary Private Health InsurancFunctionalclassification of private health insurance schemese Duplicate Private Health Insurance Complementary Private Health Insurance Supplementary Private Health Insurance Type I Countries Type II Countries
9			Social Health Insurance
Why Do Nations Consider Social Insurance? Rely On Free Market For Insurance? Failures In The Private Insurance Market From NHS to SHI Rely On The Government For Insurance? Government Failures Social Health Insurance Special Features of Social Insurance Advantages of Social Insurance Disadvantages of Social Insurance SHI: Some Examples Bilateral Exchange Model for Goods Shortcomings of SHI in Poor Countries  Trilateral Exchange Model for Goods Alternatives to a Failed SHI Major Planning Issues Efficiency and the cost of reaching poor people
10			Community-Based Health Insurance
11			Managed Care
Characteristics of Managed Care Characteristics of Managed Care Plans Versus Traditional Indemnity Insurance Common characteristics of managed care plans Differences Between Managed Care and Fee-For-Service Coverage Managed Care Organizations (MCOs)
12			Managed Care Organizations
13			Outcomes of Managed Care
14			Problems with Insurance -Adverse Selection
15			Problems with Insurance -Moral Hazards
16			Coinsurance
17			Demand for Health Insurance
18			Regulation of Insurance Market

 تذکر یک - موارد مشخص شده با     و در حال آماده شدن میباشد.

تذکر دو- فایل های مربوط به اسلایدهای با صدا    از حجم بالایی حدود بیست تا سی مگ برخوردارند در هنگام دانلود به این موضوع توجه نمایید . برای سهولت میتوانید از اینترانت دانشگاه دانلود کنید.

This work is licensed under a Creative Commons Attribution 3.0 Unported License