Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
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1. Health Care - Correct Answer: An act or deed between the healthcare
provider and the patient to maintain or improve the patient's healthcare
status
2. Biomedical Model - Correct Answer: A theoretical framework in
healthcare that views illness and disease as primarily resulting from
biological factors
3. Holistic Health - Correct Answer: An approach to wellness that
simultaneously addresses the physical, mental, emotional, social, and
spiritual components to health
4. Holistic Medicine - Correct Answer: The practice of healthcare
professionals using a diverse range of disciplines, religious philosophies, and
cultural practices to heal individuals, communities, and the environment
5. Accountable Care Organization (ACO) - Correct Answer: A network of
doctors, hospitals, and other healthcare providers that voluntarily come
together to provide coordinated, high-quality care to their patients
,6. Structure - Correct Answer: How specific activities are performed to
ensure the mission and vision of the organization are achieved
7. Functional Organizational Structure - Correct Answer: Splits the
organization into departments based on the expertise of employees (also
referred to as bureaucratic organizational structure)
8. Matrix Organizational Structure - Correct Answer: A type of
organizational design that combines two or more types of organizational
structures, typically functional and project-based
9. Financing - Correct Answer: Premiums established through negotiations
between employers and the MCO
10.Insurance - Correct Answer: A financial arrangement that protects
against financial loss or liability, typically by allowing individuals or entities
to pool the risk of potential losses in exchange for regular payments known
as premiums
11.Managed Care Organization (MCO) - Correct Answer: A type of
healthcare delivery system that aims to manage the cost, quality, and
accessibility of healthcare services; MCOs are commonly associated with
HMOs, PPOs, and POS plans
,12.Delivery - Correct Answer: The provision of healthcare services by
various providers in exchange for payment for services rendered
13.Payment Function - Correct Answer: To determine fees for services, how
much a provider should be paid for services rendered, and the actual
payment to the provider after services have been rendered
14.Health Maintenance Organization (HMO) - Correct Answer: A type of
managed care organization that provides health insurance coverage through
a network of healthcare providers who offer services to members for a fixed
fee
15.Preferred Provider Organization (PPO) - Correct Answer: A type of
managed care organization that provides health insurance coverage where
members can receive care from both in-network and out-of-network
providers, with greater flexibility and higher coverage for in-network
services
16.Integrated Delivery System (IDS) - Correct Answer: A network of
organizations that provides or arranges to provide an organized variety of
services to specific populations and is held accountable for the outcomes
and health status of those populations
17.Payer-Provider Integration - Correct Answer: A system comprising a
merger between the payers of healthcare and the providers of healthcare
to control healthcare costs and improve the delivery of healthcare services
, 18.Consumer-Driven Health Plan (CDHP) - Correct Answer: (Also known as
a high-deductible health plan) A type of health insurance plan that
encourages individuals to manage their healthcare costs
19.Point-Of-Service Plan - Correct Answer: A type of managed care health
insurance that combines features of HMOs and PPOs; it offers a blend of
flexibility and cost-efficiency, with an emphasis on coordinated care
20.Fee-For-Service - Correct Answer: A system wherein healthcare is
provided as individual units of service, such as magnetic resonance imaging
(MRI) or other x-ray, medical examination, flu shot, or other service
21.Preferred Provider - Correct Answer: A type of organization that
provides services based on contracts with groups of physicians and
hospitals that are referred to as preferred providers
22.Clinic - Correct Answer: A facility that provides ambulatory care services
ranging from basic primary care to urgent care
23.Healthcare Facility - Correct Answer: A broad term that encompasses
various types of organizations where healthcare services are provided
24.Urgent Care Center - Correct Answer: A facility that is usually located at
a different location from the hospital and offers extended hours