WGU C425 OA EXAMINATION SHEET 2025/2026
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔Legislation - ✔✔Perhaps the two most singularly transformative events in U.S.
healthcare have been the creation of Medicare and Medicaid in 1965 and the Affordable
Care Act of 2010.
✔✔Compliance - ✔✔Healthcare managers must remember that compliance with federal
statutes is essential to providing quality patient-centered care.
✔✔Accreditation, certification, and licensure - ✔✔Frequent internal evaluations of
compliance with licensure, certification, and accreditation standards can help a
healthcare organization maintain a patient-first perspective.
✔✔Consumer protection - ✔✔Healthcare managers should institute consumer
protection practices to build consumer confidence in their organization.
✔✔Competition - ✔✔Competition with healthcare markets can encourage healthcare
organizations to deliver higher quality care to attract more patients while containing
costs
✔✔State and federal compliance - ✔✔In addition to abiding to federal regulations,
healthcare managers must be aware of the particular compliance processes within their
state.
✔✔Primary care - ✔✔Primary care is the most common route of entry into the
healthcare system and can provide continuity of care throughout a patient's entire life
span
✔✔Outpatient services - ✔✔The explosive growth in outpatient services has
revolutionized the ability to treat patients. Surgeries that could previously have only
been performed in hospitals can now be performed in outpatient settings, causing
hospital occupancy rates to decline.
✔✔Hospitals: - ✔✔Hospitals can enhance the health status of a community as a whole
by providing benefits like education and charity care to the community.
✔✔Mission - ✔✔Regardless of whether a hospital is investor-owned or nonprofit, their
main mission is to serve the community and its patients.
✔✔Long-term care - ✔✔A healthcare manager must have an expansive understanding
of the goal of long-term care facilities and a comprehensive approach to wellness that
goes beyond mere medical treatment.
, ✔✔Services - ✔✔Long-term care facilities fulfill an essential niche in the healthcare
system: they can provide more prolonged care than hospitals, but also seek to
maximize patient's quality of life on a daily basis.
✔✔Managed care - ✔✔Managed care organizations offer powerful benefits in terms of
efficiency and uniformity for patient care; they also secure a steady supply of patients
for their practitioners.
✔✔Integrated delivery systems - ✔✔Integrated delivery systems can offer similar
benefits to MCOs for both patients and providers without restricting options quite as
tightly.
✔✔Integration - ✔✔Healthcare managers must not only understand what services they
can offer to patients, but must also recognize their organization's limitations, and
consider when integration might enable them to expand their services.
✔✔Stakeholders include: - ✔✔Patients, Providers, Payers, and Policymakers
✔✔Provider - ✔✔healthcare institutions, clinicians, healthcare professionals, partnering
institutions/coalitions
✔✔Payer - ✔✔self-pay individuals, private insurance companies, medicare, medicaid
✔✔Policy-maker - ✔✔Federal and state governments, professional organizations (eg
AMA, AHA)
✔✔Patient - ✔✔Individuals, families, friend, and community networks
✔✔American Medical Association (AMA) - ✔✔The national professional membership
organization for physicians that distributes scientific information to its members and the
public, informs members of legislation related to health and medicine, and represents
the medical profession's interests in national legislative matters; maintains and
publishes the Current Procedural Terminology (CPT) coding system
✔✔Dishman's 3 personal pillars of health are: - ✔✔care anywhere, care networking,
and care customization
✔✔Patient-centered care - ✔✔Though there are many different stakeholders involved in
the delivery of care, the most important stakeholder is, unconditionally, the patient.
✔✔Communication - ✔✔Improved health literacy is not limited to health comprehension,
but health communication—providers must engage in more meaningful dialogue
amongst themselves and with patients.
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔Legislation - ✔✔Perhaps the two most singularly transformative events in U.S.
healthcare have been the creation of Medicare and Medicaid in 1965 and the Affordable
Care Act of 2010.
✔✔Compliance - ✔✔Healthcare managers must remember that compliance with federal
statutes is essential to providing quality patient-centered care.
✔✔Accreditation, certification, and licensure - ✔✔Frequent internal evaluations of
compliance with licensure, certification, and accreditation standards can help a
healthcare organization maintain a patient-first perspective.
✔✔Consumer protection - ✔✔Healthcare managers should institute consumer
protection practices to build consumer confidence in their organization.
✔✔Competition - ✔✔Competition with healthcare markets can encourage healthcare
organizations to deliver higher quality care to attract more patients while containing
costs
✔✔State and federal compliance - ✔✔In addition to abiding to federal regulations,
healthcare managers must be aware of the particular compliance processes within their
state.
✔✔Primary care - ✔✔Primary care is the most common route of entry into the
healthcare system and can provide continuity of care throughout a patient's entire life
span
✔✔Outpatient services - ✔✔The explosive growth in outpatient services has
revolutionized the ability to treat patients. Surgeries that could previously have only
been performed in hospitals can now be performed in outpatient settings, causing
hospital occupancy rates to decline.
✔✔Hospitals: - ✔✔Hospitals can enhance the health status of a community as a whole
by providing benefits like education and charity care to the community.
✔✔Mission - ✔✔Regardless of whether a hospital is investor-owned or nonprofit, their
main mission is to serve the community and its patients.
✔✔Long-term care - ✔✔A healthcare manager must have an expansive understanding
of the goal of long-term care facilities and a comprehensive approach to wellness that
goes beyond mere medical treatment.
, ✔✔Services - ✔✔Long-term care facilities fulfill an essential niche in the healthcare
system: they can provide more prolonged care than hospitals, but also seek to
maximize patient's quality of life on a daily basis.
✔✔Managed care - ✔✔Managed care organizations offer powerful benefits in terms of
efficiency and uniformity for patient care; they also secure a steady supply of patients
for their practitioners.
✔✔Integrated delivery systems - ✔✔Integrated delivery systems can offer similar
benefits to MCOs for both patients and providers without restricting options quite as
tightly.
✔✔Integration - ✔✔Healthcare managers must not only understand what services they
can offer to patients, but must also recognize their organization's limitations, and
consider when integration might enable them to expand their services.
✔✔Stakeholders include: - ✔✔Patients, Providers, Payers, and Policymakers
✔✔Provider - ✔✔healthcare institutions, clinicians, healthcare professionals, partnering
institutions/coalitions
✔✔Payer - ✔✔self-pay individuals, private insurance companies, medicare, medicaid
✔✔Policy-maker - ✔✔Federal and state governments, professional organizations (eg
AMA, AHA)
✔✔Patient - ✔✔Individuals, families, friend, and community networks
✔✔American Medical Association (AMA) - ✔✔The national professional membership
organization for physicians that distributes scientific information to its members and the
public, informs members of legislation related to health and medicine, and represents
the medical profession's interests in national legislative matters; maintains and
publishes the Current Procedural Terminology (CPT) coding system
✔✔Dishman's 3 personal pillars of health are: - ✔✔care anywhere, care networking,
and care customization
✔✔Patient-centered care - ✔✔Though there are many different stakeholders involved in
the delivery of care, the most important stakeholder is, unconditionally, the patient.
✔✔Communication - ✔✔Improved health literacy is not limited to health comprehension,
but health communication—providers must engage in more meaningful dialogue
amongst themselves and with patients.
