D545 Healthcare Administration Evolution, Systems, and Leadership Exam
Questions With 100% Solved Answers | 2026 Update!!
1. Health Care An act or deed between the healthcare provider and the patient to maintain or
improve the patient's healthcare status
2. Biomedical Mod- A theoretical framework in healthcare that views illness and disease as primarily
el resulting from biological factors
3. Holistic Health An approach to wellness that simultaneously addresses the physical, mental,
emotional, social, and spiritual components to health
4. Holistic Medicine 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 A network of doctors, hospitals, and other healthcare providers that voluntarily
Care come together to provide coordinated, high-quality care to their patients
Organization
(ACO)
6. Structure How specific activities are performed to ensure the mission and vision of the
organization are achieved
7. Functional Orga- Splits the organization into departments based on the expertise of employees
nizational Struc- (also referred to as bureaucratic organizational structure)
ture
8. Matrix Organiza- A type of organizational design that combines two or more types of organizational
tional Structure structures, typically functional and project-based
9. Financing Premiums established through negotiations between employers and the MCO
10. Insurance 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
, D545 Healthcare Administration Evolution, Systems, and Leadership Exam
Questions With 100% Solved Answers | 2026 Update!!
11. Managed Care A type of healthcare delivery system that aims to manage the cost, quality, and
Organization accessibility of healthcare services; MCOs are commonly associated with HMOs,
(MCO) PPOs, and POS plans
12. Delivery The provision of healthcare services by various providers in exchange for payment
for services rendered
13. Payment Func- To determine fees for services, how much a provider should be paid for services
tion rendered, and the actual payment to the provider after services have been ren-
dered
14. Health Mainte- A type of managed care organization that provides health insurance coverage
nance Organiza- through a network of healthcare providers who otter services to members for a
tion (HMO) fixed fee
15. Preferred A type of managed care organization that provides health insurance coverage
Provider where members can receive care from both in-network and out-of-network
Organization providers, with greater flexibility and higher coverage for in-network services
(PPO)
16. Integrated Deliv- A network of organizations that provides or arranges to provide an organized
ery System (IDS) variety of services to specific populations and is held accountable for the outcomes
and health status of those populations
17. Payer-Provider A system comprising a merger between the payers of healthcare and the providers
Integration of healthcare to control healthcare costs and improve the delivery of healthcare
services
18. Consumer-Dri- (Also known as a high-deductible health plan) A type of health insurance plan that
ven Health Plan encourages individuals to manage their healthcare costs
(CDHP)
,19. Point-Of-Service A type of managed care health insurance that combines features of HMOs and
Plan PPOs; it otters a blend of flexibility and cost-eflciency, with an emphasis on
coordinated care
20. Fee-For-Service 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 A type of organization that provides services based on contracts with groups of
Provider physicians and hospitals that are referred to as preferred providers
22. Clinic A facility that provides ambulatory care services ranging from basic primary care
to urgent care
23. Healthcare Facili- A broad term that encompasses various types of organizations where healthcare
ty services are provided
24. Urgent Care Cen- A facility that is usually located at a ditterent location from the hospital and otters
ter extended hours
25. Ambulatory Care A medical care facility that provides outpatient services (also referred to as an
Center outpatient care center)
26. Imaging and Ra- An organization that otters diagnostic imaging services to patients
diology Facility
27. Hospital A specific type of healthcare facility that provides comprehensive medical care,
including diagnosis, treatment, surgery, and nursing care for sick or injured
people
28. Long-Term Care A mixture of holistic, patient-centered services that maximizes the independent
functioning of individuals with limited ability to perform daily living activities
, 29. Hospice Patients who have been deemed terminally ill with a life expectancy of 6 months
or less are placed under hospice care to receive comprehensive services
30. Home Health- A type of care that brings specific services to patients within their homes
care
31. Emergency De- A hospital department that provides medical services around the clock for patients
partment who are acutely ill or injured, especially those individuals with life-threatening
illnesses or injuries that require immediate attention
32. Orthopedic Cen- An organization that handles everything from athletic injuries to therapy for
ter patients with disabilities; typically otters evaluation and diagnosis of the problem,
as well as prevention, treatment, and rehabilitation work involving bone, tendon,
ligament, muscle, and joint conditions
33. Public Health Services provided by local health departments, including well-baby care. venereal
Services disease clinics, family planning services, screening and treatment for tuberculosis,
and ambulatory mental health services
34. Mental Health Specialized healthcare organization focused on diagnosing, treating, and provid-
Treatment Facili- ing care for individuals with mental health disorders
ty
35. Addiction Treat- Specialized healthcare organization that typically deals with drug and alcohol
ment Center addictions, as well as problematic behavioral addictions, such as gambling, work,
shopping, or the internet
36. Rehabilitation A type of healthcare facility specifically designed to provide therapy and treat-
Center ments for individuals recovering from a range of conditions, including illnesses,
injuries, surgeries, and addiction
37. Patient Protec-
tion and Afford-
Questions With 100% Solved Answers | 2026 Update!!
1. Health Care An act or deed between the healthcare provider and the patient to maintain or
improve the patient's healthcare status
2. Biomedical Mod- A theoretical framework in healthcare that views illness and disease as primarily
el resulting from biological factors
3. Holistic Health An approach to wellness that simultaneously addresses the physical, mental,
emotional, social, and spiritual components to health
4. Holistic Medicine 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 A network of doctors, hospitals, and other healthcare providers that voluntarily
Care come together to provide coordinated, high-quality care to their patients
Organization
(ACO)
6. Structure How specific activities are performed to ensure the mission and vision of the
organization are achieved
7. Functional Orga- Splits the organization into departments based on the expertise of employees
nizational Struc- (also referred to as bureaucratic organizational structure)
ture
8. Matrix Organiza- A type of organizational design that combines two or more types of organizational
tional Structure structures, typically functional and project-based
9. Financing Premiums established through negotiations between employers and the MCO
10. Insurance 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
, D545 Healthcare Administration Evolution, Systems, and Leadership Exam
Questions With 100% Solved Answers | 2026 Update!!
11. Managed Care A type of healthcare delivery system that aims to manage the cost, quality, and
Organization accessibility of healthcare services; MCOs are commonly associated with HMOs,
(MCO) PPOs, and POS plans
12. Delivery The provision of healthcare services by various providers in exchange for payment
for services rendered
13. Payment Func- To determine fees for services, how much a provider should be paid for services
tion rendered, and the actual payment to the provider after services have been ren-
dered
14. Health Mainte- A type of managed care organization that provides health insurance coverage
nance Organiza- through a network of healthcare providers who otter services to members for a
tion (HMO) fixed fee
15. Preferred A type of managed care organization that provides health insurance coverage
Provider where members can receive care from both in-network and out-of-network
Organization providers, with greater flexibility and higher coverage for in-network services
(PPO)
16. Integrated Deliv- A network of organizations that provides or arranges to provide an organized
ery System (IDS) variety of services to specific populations and is held accountable for the outcomes
and health status of those populations
17. Payer-Provider A system comprising a merger between the payers of healthcare and the providers
Integration of healthcare to control healthcare costs and improve the delivery of healthcare
services
18. Consumer-Dri- (Also known as a high-deductible health plan) A type of health insurance plan that
ven Health Plan encourages individuals to manage their healthcare costs
(CDHP)
,19. Point-Of-Service A type of managed care health insurance that combines features of HMOs and
Plan PPOs; it otters a blend of flexibility and cost-eflciency, with an emphasis on
coordinated care
20. Fee-For-Service 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 A type of organization that provides services based on contracts with groups of
Provider physicians and hospitals that are referred to as preferred providers
22. Clinic A facility that provides ambulatory care services ranging from basic primary care
to urgent care
23. Healthcare Facili- A broad term that encompasses various types of organizations where healthcare
ty services are provided
24. Urgent Care Cen- A facility that is usually located at a ditterent location from the hospital and otters
ter extended hours
25. Ambulatory Care A medical care facility that provides outpatient services (also referred to as an
Center outpatient care center)
26. Imaging and Ra- An organization that otters diagnostic imaging services to patients
diology Facility
27. Hospital A specific type of healthcare facility that provides comprehensive medical care,
including diagnosis, treatment, surgery, and nursing care for sick or injured
people
28. Long-Term Care A mixture of holistic, patient-centered services that maximizes the independent
functioning of individuals with limited ability to perform daily living activities
, 29. Hospice Patients who have been deemed terminally ill with a life expectancy of 6 months
or less are placed under hospice care to receive comprehensive services
30. Home Health- A type of care that brings specific services to patients within their homes
care
31. Emergency De- A hospital department that provides medical services around the clock for patients
partment who are acutely ill or injured, especially those individuals with life-threatening
illnesses or injuries that require immediate attention
32. Orthopedic Cen- An organization that handles everything from athletic injuries to therapy for
ter patients with disabilities; typically otters evaluation and diagnosis of the problem,
as well as prevention, treatment, and rehabilitation work involving bone, tendon,
ligament, muscle, and joint conditions
33. Public Health Services provided by local health departments, including well-baby care. venereal
Services disease clinics, family planning services, screening and treatment for tuberculosis,
and ambulatory mental health services
34. Mental Health Specialized healthcare organization focused on diagnosing, treating, and provid-
Treatment Facili- ing care for individuals with mental health disorders
ty
35. Addiction Treat- Specialized healthcare organization that typically deals with drug and alcohol
ment Center addictions, as well as problematic behavioral addictions, such as gambling, work,
shopping, or the internet
36. Rehabilitation A type of healthcare facility specifically designed to provide therapy and treat-
Center ments for individuals recovering from a range of conditions, including illnesses,
injuries, surgeries, and addiction
37. Patient Protec-
tion and Afford-
