WGU: History of Healthcare in America
D050 exam with complete solutions
When was healthcare first created in the United States? - ANSWER- 1798 Act for
Relief of the Sick and Disabled Seaman
What was created in 1915? - ANSWER- American Association for Labor
Legislation... created in the model bill
What was the precursor of Medicare and Medicaid? - ANSWER- Social security
passed in 1935
What are the three main goals of ACA? - ANSWER- expand access to health
insurance, reduce healthcare costs, support innovative delivery methods
What area *medicare or medicaid* was improved by the ACA? - ANSWER-
medicare
How many children were on CHIP as of Feb 2020? - ANSWER- 6 million
What year was medicare and medicaid formed? - ANSWER- 1965
What areas can Mezzo interactions influence? - ANSWER- organizations, schools,
buisnesses and political relms
What areas do Macro interactions influence? - ANSWER- interactions between
healthcare workers and patients/support systems of patients
What do macro indentify and influence? - ANSWER- systemic cause of health
disparities (not the indiviual)
What is the foundational reimbursement model used during the establishment of
the Medicare and Medicaid programs. - ANSWER- 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 - ANSWER- 30 day policy under value
based healthcare
Which fee-for-service model are lump-sum payments paid by nonprofit, for profit,
and medical organizations? - ANSWER- membership fees
What is an advantage of FFS? - ANSWER- being able to have a flexible schedule
How many conditions do DRG classify? - ANSWER- 450
Which provision of value-based care is important when coordinating care for a
patient with end-stage renal disease? - ANSWER- provide the best care at the
lowest cost
Which action could a healthcare coordinator take when providing value-based
care to an obese patient? - ANSWER- 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? - ANSWER- This model provides
incentives to providers based on positive outcomes
What are the four types of value based models? - ANSWER- share risks, bundles,
global capitation, and shared savings
environment consists of trends and changes in various areas, including inflation,
employment, economics, and GDP. - ANSWER- macro trend
enacted, administered, and enforced by the government (federal, state, and local)
- ANSWER- laws and rules
Centers for Medicare and Medicaid Services (CMS) sets quality standards for
what areas? - ANSWER- standards for nursing homes and hospitals, diagnostic
standards and billing codes
How does CMS evaluate nursing homes? - ANSWER- rates the quality of US
nursing homes through the Star rating program
D050 exam with complete solutions
When was healthcare first created in the United States? - ANSWER- 1798 Act for
Relief of the Sick and Disabled Seaman
What was created in 1915? - ANSWER- American Association for Labor
Legislation... created in the model bill
What was the precursor of Medicare and Medicaid? - ANSWER- Social security
passed in 1935
What are the three main goals of ACA? - ANSWER- expand access to health
insurance, reduce healthcare costs, support innovative delivery methods
What area *medicare or medicaid* was improved by the ACA? - ANSWER-
medicare
How many children were on CHIP as of Feb 2020? - ANSWER- 6 million
What year was medicare and medicaid formed? - ANSWER- 1965
What areas can Mezzo interactions influence? - ANSWER- organizations, schools,
buisnesses and political relms
What areas do Macro interactions influence? - ANSWER- interactions between
healthcare workers and patients/support systems of patients
What do macro indentify and influence? - ANSWER- systemic cause of health
disparities (not the indiviual)
What is the foundational reimbursement model used during the establishment of
the Medicare and Medicaid programs. - ANSWER- 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 - ANSWER- 30 day policy under value
based healthcare
Which fee-for-service model are lump-sum payments paid by nonprofit, for profit,
and medical organizations? - ANSWER- membership fees
What is an advantage of FFS? - ANSWER- being able to have a flexible schedule
How many conditions do DRG classify? - ANSWER- 450
Which provision of value-based care is important when coordinating care for a
patient with end-stage renal disease? - ANSWER- provide the best care at the
lowest cost
Which action could a healthcare coordinator take when providing value-based
care to an obese patient? - ANSWER- 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? - ANSWER- This model provides
incentives to providers based on positive outcomes
What are the four types of value based models? - ANSWER- share risks, bundles,
global capitation, and shared savings
environment consists of trends and changes in various areas, including inflation,
employment, economics, and GDP. - ANSWER- macro trend
enacted, administered, and enforced by the government (federal, state, and local)
- ANSWER- laws and rules
Centers for Medicare and Medicaid Services (CMS) sets quality standards for
what areas? - ANSWER- standards for nursing homes and hospitals, diagnostic
standards and billing codes
How does CMS evaluate nursing homes? - ANSWER- rates the quality of US
nursing homes through the Star rating program
