D545 STUDY GUIDE ACTUAL EXAM EXAM
Q&A 2026 100% CORRECT.
⫸ • biomedical model - a theoretical framework in healthcare that
views illness and disease as primarily resulting from biological factors
⫸ • holistic health - an approach to wellness that simultaneously
addresses the physical, mental, emotional, social, and spiritual
components of health
⫸ • holistic medicine - 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) - a network of doctors,
hospitals, and other healthcare providers that voluntarily come
together to provide coordinated, high-quality care to their patients
⫸ • structure - how specific activities are performed to ensure the
mission and vision of the organization are achieved
⫸ • functional organization structure - splits the organization into
departments based on the expertise of employees (also referred to as
bureaucratic organizational structure)
, ⫸ • matrix organizational structure - a type of organizational design
that combines two or more types of organizational structures,
typically functional and project-based
⫸ • financing - premiums established through negotiations between
employers and the MCO
⫸ • insurance - 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) - 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 - the provision of healthcare services by various
providers in exchange for payment for services rendered
⫸ • payment function - 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) - 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
Q&A 2026 100% CORRECT.
⫸ • biomedical model - a theoretical framework in healthcare that
views illness and disease as primarily resulting from biological factors
⫸ • holistic health - an approach to wellness that simultaneously
addresses the physical, mental, emotional, social, and spiritual
components of health
⫸ • holistic medicine - 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) - a network of doctors,
hospitals, and other healthcare providers that voluntarily come
together to provide coordinated, high-quality care to their patients
⫸ • structure - how specific activities are performed to ensure the
mission and vision of the organization are achieved
⫸ • functional organization structure - splits the organization into
departments based on the expertise of employees (also referred to as
bureaucratic organizational structure)
, ⫸ • matrix organizational structure - a type of organizational design
that combines two or more types of organizational structures,
typically functional and project-based
⫸ • financing - premiums established through negotiations between
employers and the MCO
⫸ • insurance - 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) - 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 - the provision of healthcare services by various
providers in exchange for payment for services rendered
⫸ • payment function - 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) - 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
