Program Offers Physicians-in-Training an Inside Glimpse of Managed Care
From 1998 to 2000, Harvard Pilgrim Health Care, a managed care organization based in Brookline, Mass., enabled medical residents at the University of Medicine & Dentistry of New Jersey (UMDNJ)-Robert Wood Johnson Medical School campuses in New Jersey to receive training in delivering health care in a managed care environment.
Training was delivered through two managed care health systems in New Jersey: the Pinnacle Medical Group and the Cooper Health System. The training program was part of a larger effort by the Partnerships for Quality Education, Boston, a national initiative conducted under the auspices of Harvard Pilgrim and supported by The Pew Charitable Trusts.
RWJF was asked to support the planning and implementation of managed care training programs at the UMDNJ-Robert Wood Johnson Medical School campus in New Brunswick and at Camden.
Through a partnership between Partnerships for Quality Education partnership and the Cooper Health System, UMDNJ-Camden medical school residents did the following:
- Participated in a one-week training at Mercy Health Plan, a managed care organization within the Cooper Health System, working closely with the senior medical director to better understand the process of managed care utilization review and case management.
- Participated in a one-week rotation at Aetna US Healthcare, organized by the Cooper Health System, during which residents worked with the regional quality director to look at quality improvement, patient care, and office management systems.
- Helped to provide services at Charity Care, a managed care entity within the Cooper Health System that serves indigent patients.