WGU C425 OA ACTUAL TEST PAPER 2025/2026 QUESTIONS
WITH SOLUTIONS GRADED A+
✔✔Resource utilization groups - ✔✔case mix method for skilled nursing facilities to
determine a fixed per day rate
✔✔New payment arrangements for Medicare to be worked out, to include: - ✔✔bundled
payments, shared savings arrangements, risk sharing arrangements
✔✔Pluralistic and Interest Group Politics - ✔✔most effective demanders of policies,
AMA, AARP, and American Hospital Association, employers, consumer groups,
manufacturers of technology, alliances
✔✔National Health Services Corps - ✔✔helps address personnel shortages in rural
areas for a limited time
✔✔Agency for healthcare research and quality - ✔✔goal is to conduct and support
research on outcomes, effectiveness, and appropriateness of services and procedures
✔✔major challenges to implement ACA - ✔✔option to opt out of expanding Medicaid ,
earning too much and too little at same time, undocumented immigrants don't qualify
and can't purchase marketplace , attempted repeals in Congress
✔✔joint commission - ✔✔responsible for accreditation of health care facilities, no profit
organization
✔✔integrated delivery systems - ✔✔may contract with MCOs to provide better services,
include home health, hospice, similar to MCOs but don't restrict options as much, a
bunch of facilities joined together
✔✔stakeholders 4ps - ✔✔patient, provider, payer, policy maker
✔✔FDA and DHHS - ✔✔responsible for ensuring drugs and medical devices are safe
and effective
✔✔ARHQ and NIH - ✔✔provide financial support to private and public institutions for
biomedical research and on quality, cost, access
✔✔physician - ✔✔MD or DO, graduate from accredited school, licensing exam
completed internship
✔✔DO osteopathic medicine - ✔✔musculoskeletal system like correction of joint
tissues, holistic
, ✔✔MD (medical doctor) - ✔✔allopathic medicine, medical treatment is active
intervention
✔✔Advanced practice nurses (APNs) - ✔✔Nurses who have education and clinical
training beyond that required for an RN. 4 types
✔✔Nonphysician practitioners (NPPs) - ✔✔less advanced training than physicians but
more than registered nurse, don't engage in entire range of primary care, deal with
cases requiring expertise of physician
✔✔allied health professionals - ✔✔Technicians and Assistants
Technologists and Therapists
✔✔technicians and assistants - ✔✔less than 2 years post secondary education, trained
to perform procedures, require supervision, ensure care plan evaluation occurs
✔✔technologists and therapists - ✔✔evaluate patients, diagnose problems, develop
treatment plans, skill development in teaching procedural skills to technicians
✔✔public health professionals - ✔✔focus on treating community, access to health care,
injury issues, etc. biostatistics, epidemiology, health services admin, health education
science, environmental health
✔✔community health workers - ✔✔varying roles that include both socially oriented
tasks of natural helpers and the clinical tasks of physician extenders, rigorous training
and system of advancement for education
✔✔health service administrators - ✔✔Employed at various levels of organizations
Manage complex integrated delivery organizations, responsible for operational, clinical,
and financial outcomes of whole organization, bachelors and masters levels
✔✔Consumer Purchaser Alliance - ✔✔-Promotes the use of performance measurement
in health care
✔✔Measure Applications Partnership - ✔✔provides input to DHHS on selecting
performance measures
✔✔CMS (Centers for Medicare and Medicaid) - ✔✔Federal agency that administers the
Medicare program and helps oversee the Medicaid program- parts of DHHS
✔✔outpatient care - ✔✔care given to people who have had treatments, procedures, or
surgery and do not require an overnight stay in a hospital or other care facility
WITH SOLUTIONS GRADED A+
✔✔Resource utilization groups - ✔✔case mix method for skilled nursing facilities to
determine a fixed per day rate
✔✔New payment arrangements for Medicare to be worked out, to include: - ✔✔bundled
payments, shared savings arrangements, risk sharing arrangements
✔✔Pluralistic and Interest Group Politics - ✔✔most effective demanders of policies,
AMA, AARP, and American Hospital Association, employers, consumer groups,
manufacturers of technology, alliances
✔✔National Health Services Corps - ✔✔helps address personnel shortages in rural
areas for a limited time
✔✔Agency for healthcare research and quality - ✔✔goal is to conduct and support
research on outcomes, effectiveness, and appropriateness of services and procedures
✔✔major challenges to implement ACA - ✔✔option to opt out of expanding Medicaid ,
earning too much and too little at same time, undocumented immigrants don't qualify
and can't purchase marketplace , attempted repeals in Congress
✔✔joint commission - ✔✔responsible for accreditation of health care facilities, no profit
organization
✔✔integrated delivery systems - ✔✔may contract with MCOs to provide better services,
include home health, hospice, similar to MCOs but don't restrict options as much, a
bunch of facilities joined together
✔✔stakeholders 4ps - ✔✔patient, provider, payer, policy maker
✔✔FDA and DHHS - ✔✔responsible for ensuring drugs and medical devices are safe
and effective
✔✔ARHQ and NIH - ✔✔provide financial support to private and public institutions for
biomedical research and on quality, cost, access
✔✔physician - ✔✔MD or DO, graduate from accredited school, licensing exam
completed internship
✔✔DO osteopathic medicine - ✔✔musculoskeletal system like correction of joint
tissues, holistic
, ✔✔MD (medical doctor) - ✔✔allopathic medicine, medical treatment is active
intervention
✔✔Advanced practice nurses (APNs) - ✔✔Nurses who have education and clinical
training beyond that required for an RN. 4 types
✔✔Nonphysician practitioners (NPPs) - ✔✔less advanced training than physicians but
more than registered nurse, don't engage in entire range of primary care, deal with
cases requiring expertise of physician
✔✔allied health professionals - ✔✔Technicians and Assistants
Technologists and Therapists
✔✔technicians and assistants - ✔✔less than 2 years post secondary education, trained
to perform procedures, require supervision, ensure care plan evaluation occurs
✔✔technologists and therapists - ✔✔evaluate patients, diagnose problems, develop
treatment plans, skill development in teaching procedural skills to technicians
✔✔public health professionals - ✔✔focus on treating community, access to health care,
injury issues, etc. biostatistics, epidemiology, health services admin, health education
science, environmental health
✔✔community health workers - ✔✔varying roles that include both socially oriented
tasks of natural helpers and the clinical tasks of physician extenders, rigorous training
and system of advancement for education
✔✔health service administrators - ✔✔Employed at various levels of organizations
Manage complex integrated delivery organizations, responsible for operational, clinical,
and financial outcomes of whole organization, bachelors and masters levels
✔✔Consumer Purchaser Alliance - ✔✔-Promotes the use of performance measurement
in health care
✔✔Measure Applications Partnership - ✔✔provides input to DHHS on selecting
performance measures
✔✔CMS (Centers for Medicare and Medicaid) - ✔✔Federal agency that administers the
Medicare program and helps oversee the Medicaid program- parts of DHHS
✔✔outpatient care - ✔✔care given to people who have had treatments, procedures, or
surgery and do not require an overnight stay in a hospital or other care facility
