WGU D050 HISTORY OF HEALTHCARE IN AMERICA
FINAL EXAM 2025. COMPLETE ACTUAL EXAM
QUESTIONS AND DETAILED ANSWERS.LATEST
GENUINE UPDATE (RATED A+)
When was healthcare first created in the United States? -CORRECT ANS>>1798
Act for Relief of the Sick and Disabled Seaman
What was created in 1915? -CORRECT ANS>>American Association for Labor
Legislation... created in the model bill
What was the precursor of Medicare and Medicaid? -CORRECT ANS>>Social
security passed in 1935
What are the three main goals of ACA? -CORRECT ANS>>expand access to
health insurance, reduce healthcare costs, support innovative delivery methods
How many children were on CHIP as of Feb 2020? -CORRECT ANS>>6 million
What year was Medicare and Medicaid formed? -CORRECT ANS>>1965
What areas can Mezzo interactions influence? -CORRECT ANS>>organizations,
schools, businesses and political realms
What areas do Macro interactions influence? -CORRECT ANS>>interactions
between healthcare workers and patients/support systems of patients
What do macro identify and influence? -CORRECT ANS>>systemic cause of
health disparities (not the individual)
What is the foundational reimbursement model used during the establishment of
the Medicare and Medicaid programs. -CORRECT ANS>>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 -CORRECT ANS>>30-day policy under
value-based healthcare
,Which fee-for-service model are lump-sum payments paid by nonprofit, for profit,
and medical organizations? -CORRECT ANS>>membership fees
How many conditions do DRG classify? -CORRECT ANS>>450
Which provision of value-based care is important when coordinating care for a
patient with end-stage renal disease? -CORRECT ANS>>provide the best care at
the lowest cost
Which action could a healthcare coordinator take when providing value-based
care to an obese patient? -CORRECT ANS>>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? -CORRECT ANS>>This model
provides incentives to providers based on positive outcomes
What are the four types of value-based models? -CORRECT ANS>>share risks,
bundles, global capitation, and shared savings
environment consists of trends and changes in various areas, including inflation,
employment, economics, and GDP. -CORRECT ANS>>macro trend
Centers for Medicare and Medicaid Services (CMS) sets quality standards for
what areas? -CORRECT ANS>>standards for nursing homes and hospitals,
diagnostic standards and billing codes
How does CMS evaluate nursing homes? -CORRECT ANS>>rates the quality of
US nursing homes through the Star rating program
What standards are established (Medicaid) through CMS? -CORRECT
ANS>>billing, diagnostic, and national policy standards
What is the CDC part of? -CORRECT ANS>>US public health service
What is the main goal of the CDC? -CORRECT ANS>>standards surrounding
control, detection, and prevention of communicable diseases while responding to
,public health emergencies
Office for Civil Rights ensures what? -CORRECT ANS>>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. -CORRECT ANS>>Office of Inspector General
What is a nonprofit organization that oversees hospitals and other institutions
that provide inpatient and outpatient care? -CORRECT ANS>>joint commission
What was the first government run healthcare program? -CORRECT ANS>>UD
Department of War Freedman’s' Bureau
When was the national mental health act created? -CORRECT ANS>>1946 at the
end of WW2 importance placed on PTSD
What was the American Medical Association created? -CORRECT ANS>>1846;
set national practice standards and overseeing licensing of doctors and
physicians
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. -CORRECT ANS>>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) -CORRECT ANS>>Title
XIX of the Social Security Act
Under what president, did the amendment to social security act provide coverage
to disabled individuals -CORRECT ANS>>nixon; added chronic kidney disease
In the health maintenance act of 1973, what type of health insurance was
promoted? -CORRECT ANS>>prepaid private group, HMO (in addition to fee for
, service plans)
Health Information stored electronically which could be used to identify a patient
is required to retain the utmost confidentiality, and providers are legally
responsible for protecting this information. -CORRECT ANS>>security rule
Patients retain full access to their health records and can restrict their disclosure
and use. -CORRECT ANS>>privacy rule
What is one of the most important court cases impacting healthcare delivery? -
CORRECT ANS>>Tarasoff V Regents of University of California (duty to warn)
What year was health maintenance organization act passed? -CORRECT
ANS>>1973
What year was Consolidated Omnibus Budget Reconciliation Act PASSED? -
CORRECT ANS>>1985
What was the main focus of COBRA? -CORRECT ANS>>allowing former
employees to keep health insurance for a period after termination from job
When was the balanced budget act passed? -CORRECT ANS>>1997
When was Medicare part D passed? -CORRECT ANS>>2003
What is the duty to warn? -CORRECT ANS>>doctors can break confidentiality to
warn person threated and law enforcement
Who was the first social worker to challenge the mental health stigma? -
CORRECT ANS>>Dorthia dix
What was a major accomplishment for Dorthia Dix? -CORRECT ANS>>32 state
hospitals; creating a institution where mental health individuals can be treated by
professionals
In the 1940s and 1950s, what was a common treatment of hysteria? -CORRECT
ANS>>lobotomy; destroying the frontal lobe and leaving individuals severely
impacted and unable to function without assistance
FINAL EXAM 2025. COMPLETE ACTUAL EXAM
QUESTIONS AND DETAILED ANSWERS.LATEST
GENUINE UPDATE (RATED A+)
When was healthcare first created in the United States? -CORRECT ANS>>1798
Act for Relief of the Sick and Disabled Seaman
What was created in 1915? -CORRECT ANS>>American Association for Labor
Legislation... created in the model bill
What was the precursor of Medicare and Medicaid? -CORRECT ANS>>Social
security passed in 1935
What are the three main goals of ACA? -CORRECT ANS>>expand access to
health insurance, reduce healthcare costs, support innovative delivery methods
How many children were on CHIP as of Feb 2020? -CORRECT ANS>>6 million
What year was Medicare and Medicaid formed? -CORRECT ANS>>1965
What areas can Mezzo interactions influence? -CORRECT ANS>>organizations,
schools, businesses and political realms
What areas do Macro interactions influence? -CORRECT ANS>>interactions
between healthcare workers and patients/support systems of patients
What do macro identify and influence? -CORRECT ANS>>systemic cause of
health disparities (not the individual)
What is the foundational reimbursement model used during the establishment of
the Medicare and Medicaid programs. -CORRECT ANS>>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 -CORRECT ANS>>30-day policy under
value-based healthcare
,Which fee-for-service model are lump-sum payments paid by nonprofit, for profit,
and medical organizations? -CORRECT ANS>>membership fees
How many conditions do DRG classify? -CORRECT ANS>>450
Which provision of value-based care is important when coordinating care for a
patient with end-stage renal disease? -CORRECT ANS>>provide the best care at
the lowest cost
Which action could a healthcare coordinator take when providing value-based
care to an obese patient? -CORRECT ANS>>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? -CORRECT ANS>>This model
provides incentives to providers based on positive outcomes
What are the four types of value-based models? -CORRECT ANS>>share risks,
bundles, global capitation, and shared savings
environment consists of trends and changes in various areas, including inflation,
employment, economics, and GDP. -CORRECT ANS>>macro trend
Centers for Medicare and Medicaid Services (CMS) sets quality standards for
what areas? -CORRECT ANS>>standards for nursing homes and hospitals,
diagnostic standards and billing codes
How does CMS evaluate nursing homes? -CORRECT ANS>>rates the quality of
US nursing homes through the Star rating program
What standards are established (Medicaid) through CMS? -CORRECT
ANS>>billing, diagnostic, and national policy standards
What is the CDC part of? -CORRECT ANS>>US public health service
What is the main goal of the CDC? -CORRECT ANS>>standards surrounding
control, detection, and prevention of communicable diseases while responding to
,public health emergencies
Office for Civil Rights ensures what? -CORRECT ANS>>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. -CORRECT ANS>>Office of Inspector General
What is a nonprofit organization that oversees hospitals and other institutions
that provide inpatient and outpatient care? -CORRECT ANS>>joint commission
What was the first government run healthcare program? -CORRECT ANS>>UD
Department of War Freedman’s' Bureau
When was the national mental health act created? -CORRECT ANS>>1946 at the
end of WW2 importance placed on PTSD
What was the American Medical Association created? -CORRECT ANS>>1846;
set national practice standards and overseeing licensing of doctors and
physicians
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. -CORRECT ANS>>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) -CORRECT ANS>>Title
XIX of the Social Security Act
Under what president, did the amendment to social security act provide coverage
to disabled individuals -CORRECT ANS>>nixon; added chronic kidney disease
In the health maintenance act of 1973, what type of health insurance was
promoted? -CORRECT ANS>>prepaid private group, HMO (in addition to fee for
, service plans)
Health Information stored electronically which could be used to identify a patient
is required to retain the utmost confidentiality, and providers are legally
responsible for protecting this information. -CORRECT ANS>>security rule
Patients retain full access to their health records and can restrict their disclosure
and use. -CORRECT ANS>>privacy rule
What is one of the most important court cases impacting healthcare delivery? -
CORRECT ANS>>Tarasoff V Regents of University of California (duty to warn)
What year was health maintenance organization act passed? -CORRECT
ANS>>1973
What year was Consolidated Omnibus Budget Reconciliation Act PASSED? -
CORRECT ANS>>1985
What was the main focus of COBRA? -CORRECT ANS>>allowing former
employees to keep health insurance for a period after termination from job
When was the balanced budget act passed? -CORRECT ANS>>1997
When was Medicare part D passed? -CORRECT ANS>>2003
What is the duty to warn? -CORRECT ANS>>doctors can break confidentiality to
warn person threated and law enforcement
Who was the first social worker to challenge the mental health stigma? -
CORRECT ANS>>Dorthia dix
What was a major accomplishment for Dorthia Dix? -CORRECT ANS>>32 state
hospitals; creating a institution where mental health individuals can be treated by
professionals
In the 1940s and 1950s, what was a common treatment of hysteria? -CORRECT
ANS>>lobotomy; destroying the frontal lobe and leaving individuals severely
impacted and unable to function without assistance
