WGU D545 SECTION 1 GLOSSARY | UNDERSTAND (NOT MEMORIZE) THESE
TERMS IN PREPARATION FOR THE OBJECTIVE ASSESSMENT | GOOD LUCK!
• health care Answer - an act or deed between the healthcare provider and
the patient to maintain or improve the patient's healthcare status
• biomedical model Answer - a theoretical framework in healthcare that views
illness and disease as primarily resulting from biological factors
• holistic health Answer - an approach to wellness that simultaneously
addresses the physical, mental, emotional, social, and spiritual components of
health
• holistic medicine Answer - the practice of healthcare professionals using a
diverse range of disciplines, religious philosophies, and cultural practices to
heal individuals, communities, and the environment
• accountable care organization (ACO) Answer - a network of doctors,
hospitals, and other healthcare providers that voluntarily come together to
provide coordinated, high-quality care to their patients
• structure Answer - how specific activities are performed to ensure the
mission and vision of the organization are achieved
, • functional organization structure Answer - splits the organization into
departments based on the expertise of employees (also referred to as
bureaucratic organizational structure)
• matrix organizational structure Answer - a type of organizational design that
combines two or more types of organizational structures, typically functional
and project-based
• financing Answer - premiums established through negotiations between
employers and the MCO
• insurance 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
• managed care organization (MCO) 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
• delivery Answer - the provision of healthcare services by various providers in
exchange for payment for services rendered
• payment function 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
• health maintenance organization (HMO) 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
TERMS IN PREPARATION FOR THE OBJECTIVE ASSESSMENT | GOOD LUCK!
• health care Answer - an act or deed between the healthcare provider and
the patient to maintain or improve the patient's healthcare status
• biomedical model Answer - a theoretical framework in healthcare that views
illness and disease as primarily resulting from biological factors
• holistic health Answer - an approach to wellness that simultaneously
addresses the physical, mental, emotional, social, and spiritual components of
health
• holistic medicine Answer - the practice of healthcare professionals using a
diverse range of disciplines, religious philosophies, and cultural practices to
heal individuals, communities, and the environment
• accountable care organization (ACO) Answer - a network of doctors,
hospitals, and other healthcare providers that voluntarily come together to
provide coordinated, high-quality care to their patients
• structure Answer - how specific activities are performed to ensure the
mission and vision of the organization are achieved
, • functional organization structure Answer - splits the organization into
departments based on the expertise of employees (also referred to as
bureaucratic organizational structure)
• matrix organizational structure Answer - a type of organizational design that
combines two or more types of organizational structures, typically functional
and project-based
• financing Answer - premiums established through negotiations between
employers and the MCO
• insurance 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
• managed care organization (MCO) 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
• delivery Answer - the provision of healthcare services by various providers in
exchange for payment for services rendered
• payment function 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
• health maintenance organization (HMO) 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
