WGU: History of Healthcare in America D050 All Possible
Questions and Answers 2023 verified
When was healthcare first created in the United States?
1798 Act for Relief of the Sick and Disabled Seaman
What was created in 1915?
American Association for Labor Legislation... created in the model bill
What was the precursor of Medicare and Medicaid?
Social security passed in 1935
What are the three main goals of ACA?
expand access to health insurance, reduce healthcare costs, support innovative delivery
methods
What area medicare or medicaid was improved by the ACA?
medicare
How many children were on CHIP as of Feb 2020?
6 million
What year was medicare and medicaid formed?
1965
What areas can Mezzo interactions influence?
organizations, schools, buisnesses and political relms
What areas do Macro interactions influence?
interactions between healthcare workers and patients/support systems of patients
What do macro indentify and influence?
systemic cause of health disparities (not the indiviual)
What is the foundational reimbursement model used during the establishment of the
Medicare and Medicaid programs.
Fee for service
if a patient is readmitted to the hospital within 30 days for the same diagnosis, the
hospital will receive a reduced payment
30 day policy under value based healthcare
Which fee-for-service model are lump-sum payments paid by nonprofit, for profit, and
medical organizations?
membership fees
What is an advantage of FFS?
being able to have a flexible schedule
How many conditions do DRG classify?
450
Which provision of value-based care is important when coordinating care for a patient
with end-stage renal disease?
provide the best care at the lowest cost
Which action could a healthcare coordinator take when providing value-based care to
an obese patient?
provide follow up communication to support adoption of healthy behaviors
A care coordinator is explaining value-based care to a patient with cancer. Which
statement should be included in the teaching?
, This model provides incentives to providers based on positive outcomes
What are the four types of value based models?
share risks, bundles, global capitation, and shared savings
environment consists of trends and changes in various areas, including inflation,
employment, economics, and GDP.
macro trend
enacted, administered, and enforced by the government (federal, state, and local)
laws and rules
Centers for Medicare and Medicaid Services (CMS) sets quality standards for what
areas?
standards for nursing homes and hospitals, diagnostic standards and billing codes
How does CMS evaluate nursing homes?
rates the quality of US nursing homes through the Star rating program
What standards are established (Medicaid) through CMS?
billing, diagnostic, and national policy standards
What does the state level do with these standards?
implementation, provision, and day-to-day administration
What is the CDC part of?
US public health service
What is the main goal of the CDC?
standards surrounding control, detection, and prevention of communicable diseases
while responding to public health emergencies
Office for Civil Rights ensures what?
all individuals receiving services from HHS administered systems or programs are not
subject to unlawful discrimination; privacy violations, enforces laws/regulations
regarding sex, religion and race
This agency not only detects waste, fraud, and abuse; it also works with federal and
state law enforcement agencies to prosecute individuals or organizations that have
violated federal health regulations and misappropriated healthcare dollars.
Office of Inspector General
What is a nonprofit organization that oversees hospitals and other institutions that
provide inpatient and outpatient care?
joint commission
When was the national mental health act created?
1946 at the end of WW2.... importance placed on PTSD
What was the AMA created?
1846; set national practice standards and overseeing licensing of doctors and
physicians
What was the first government run healthcare program?
UD Department of War Freedmans' Bureau
Established Medicare Part A and Part B, which covered hospitalization and doctors'
visits for persons age 65 and older, with some limited coverage for post-hospitalization
skilled nursing care.
Title XVIII of the Social Security Act. E
Established Medicaid, which provided public health coverage to poor families receiving
Aid to Families with Dependent Children (AFDC)
Questions and Answers 2023 verified
When was healthcare first created in the United States?
1798 Act for Relief of the Sick and Disabled Seaman
What was created in 1915?
American Association for Labor Legislation... created in the model bill
What was the precursor of Medicare and Medicaid?
Social security passed in 1935
What are the three main goals of ACA?
expand access to health insurance, reduce healthcare costs, support innovative delivery
methods
What area medicare or medicaid was improved by the ACA?
medicare
How many children were on CHIP as of Feb 2020?
6 million
What year was medicare and medicaid formed?
1965
What areas can Mezzo interactions influence?
organizations, schools, buisnesses and political relms
What areas do Macro interactions influence?
interactions between healthcare workers and patients/support systems of patients
What do macro indentify and influence?
systemic cause of health disparities (not the indiviual)
What is the foundational reimbursement model used during the establishment of the
Medicare and Medicaid programs.
Fee for service
if a patient is readmitted to the hospital within 30 days for the same diagnosis, the
hospital will receive a reduced payment
30 day policy under value based healthcare
Which fee-for-service model are lump-sum payments paid by nonprofit, for profit, and
medical organizations?
membership fees
What is an advantage of FFS?
being able to have a flexible schedule
How many conditions do DRG classify?
450
Which provision of value-based care is important when coordinating care for a patient
with end-stage renal disease?
provide the best care at the lowest cost
Which action could a healthcare coordinator take when providing value-based care to
an obese patient?
provide follow up communication to support adoption of healthy behaviors
A care coordinator is explaining value-based care to a patient with cancer. Which
statement should be included in the teaching?
, This model provides incentives to providers based on positive outcomes
What are the four types of value based models?
share risks, bundles, global capitation, and shared savings
environment consists of trends and changes in various areas, including inflation,
employment, economics, and GDP.
macro trend
enacted, administered, and enforced by the government (federal, state, and local)
laws and rules
Centers for Medicare and Medicaid Services (CMS) sets quality standards for what
areas?
standards for nursing homes and hospitals, diagnostic standards and billing codes
How does CMS evaluate nursing homes?
rates the quality of US nursing homes through the Star rating program
What standards are established (Medicaid) through CMS?
billing, diagnostic, and national policy standards
What does the state level do with these standards?
implementation, provision, and day-to-day administration
What is the CDC part of?
US public health service
What is the main goal of the CDC?
standards surrounding control, detection, and prevention of communicable diseases
while responding to public health emergencies
Office for Civil Rights ensures what?
all individuals receiving services from HHS administered systems or programs are not
subject to unlawful discrimination; privacy violations, enforces laws/regulations
regarding sex, religion and race
This agency not only detects waste, fraud, and abuse; it also works with federal and
state law enforcement agencies to prosecute individuals or organizations that have
violated federal health regulations and misappropriated healthcare dollars.
Office of Inspector General
What is a nonprofit organization that oversees hospitals and other institutions that
provide inpatient and outpatient care?
joint commission
When was the national mental health act created?
1946 at the end of WW2.... importance placed on PTSD
What was the AMA created?
1846; set national practice standards and overseeing licensing of doctors and
physicians
What was the first government run healthcare program?
UD Department of War Freedmans' Bureau
Established Medicare Part A and Part B, which covered hospitalization and doctors'
visits for persons age 65 and older, with some limited coverage for post-hospitalization
skilled nursing care.
Title XVIII of the Social Security Act. E
Established Medicaid, which provided public health coverage to poor families receiving
Aid to Families with Dependent Children (AFDC)
