WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
When was healthcare f ̣irst created in the United States? - ANSWER 1798 Act f ̣or Relief ̣
of ̣ the Sick and Disabled Seaman
What was created in 1915? - ANSWER American Association f ̣or 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
How many children were on CHIP as of ̣ Feb 2020? - ANSWER 6 million
What year was medicare and medicaid f ̣ormed? - ANSWER 1965
What areas can Mezzo interactions inf ̣luence? - ANSWER organizations, schools,
buisnesses and political relms
What areas do Macro interactions inf ̣luence? - ANSWER interactions between
healthcare workers and patients/support systems of ̣ patients
What do macro indentif ̣y and inf ̣luence? - ANSWER systemic cause of ̣ health
disparities (not the indiviual)
What is the f ̣oundational reimbursement model used during the establishment of ̣ the
Medicare and Medicaid programs. - ANSWER Fee f ̣or service
if ̣ a patient is readmitted to the hospital within 30 days f ̣or the same diagnosis, the
hospital will receive a reduced payment - ANSWER 30 day policy under value based
healthcare
Which f ̣ee-f ̣or-service model are lump-sum payments paid by nonprof ̣it, f ̣or prof ̣it, and
medical organizations? - ANSWER membership f ̣ees
How many conditions do DRG classif ̣y? - ANSWER 450
Which provision of ̣ value-based care is important when coordinating care f ̣or a patient
with end-stage renal disease? - ANSWER provide the best care at the lowest cost
, WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
Which action could a healthcare coordinator take when providing value-based care to
an obese patient? - ANSWER provide f ̣ollow 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 f ̣our types of ̣ value based models? - ANSWER share risks, bundles,
global capitation, and shared savings
environment consists of ̣ trends and changes in various areas, including inf ̣lation,
employment, economics, and GDP. - ANSWER macro trend
Centers f ̣or Medicare and Medicaid Services (CMS) sets quality standards f ̣or what
areas? - ANSWER standards f ̣or 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
What standards are established (Medicaid) through CMS? - ANSWER billing,
diagnostic, and national policy standards
What is the CDC part of ̣? - ANSWER US public health service
What is the main goal of ̣ the CDC? - ANSWER standards surrounding control,
detection, and prevention of ̣ communicable diseases while responding to public health
emergencies
Of ̣f ̣ice f ̣or Civil Rights ensures what? - ANSWER all individuals receiving services f ̣rom
HHS administered systems or programs are not subject to unlawf ̣ul discrimination;
privacy violations, enf ̣orces laws/regulations regarding sex, religion and race
This agency not only detects waste, f ̣raud, and abuse; it also works with f ̣ederal and
state law enf ̣orcement agencies to prosecute individuals or organizations that have
violated f ̣ederal health regulations and misappropriated healthcare dollars. - ANSWER
Of ̣f ̣ice of ̣ Inspector General
What is a nonprof ̣it organization that oversees hospitals and other institutions that
provide inpatient and outpatient care? - ANSWER joint commission
, WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
What was the f ̣irst government run healthcare program? - ANSWER UD Department of ̣
War Freedmans' Bureau
When was the national mental health act created? - ANSWER 1946 at the end of ̣
WW2 .... importance placed on PTSD
What was the American Medical Association created? - ANSWER 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
f ̣or persons age 65 and older, with some limited coverage f ̣or post-hospitalization skilled
nursing care. - ANSWER Title XVIII of ̣ the Social Security Act. E
Established Medicaid, which provided public health coverage to poor f ̣amilies receiving
Aid to Families with Dependent Children (AFDC) - ANSWER Title XIX of ̣ the Social
Security Act
Under what president, did the amendment to social security act provide coverage to
disabled individuals - ANSWER nixon; added chronic kidney disease
In the health maintenance act of ̣ 1973, what type of ̣ health insurance was promoted? -
ANSWER prepaid private group, HMO (in addition to f ̣ee f ̣or service plans)
Health Inf ̣ormation stored electronically which could be used to identif ̣y a patient is
required to retain the utmost conf ̣identiality, and providers are legally responsible f ̣or
protecting this inf ̣ormation. - ANSWER security rule
Patients retain f ̣ull access to their health records and can restrict their disclosure and
use. - ANSWER privacy rule
What is one of ̣ the most important court cases impacting healthcare delivery? -
ANSWER Tarasof ̣f ̣ V Regents of ̣ University of ̣ Calif ̣ornia (duty to warn)
What year was health maintenance organization act passed? - ANSWER 1973
What year was Consolidated Omnibus Budget Reconciliation Act PASSED? - ANSWER
1985
What was the main f ̣ocus of ̣ COBRA? - ANSWER allowing f ̣ormer employees to keep
health insurance f ̣or a period af ̣ter termination f ̣rom job
When was the balanced budget act passed? - ANSWER 1997
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
When was healthcare f ̣irst created in the United States? - ANSWER 1798 Act f ̣or Relief ̣
of ̣ the Sick and Disabled Seaman
What was created in 1915? - ANSWER American Association f ̣or 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
How many children were on CHIP as of ̣ Feb 2020? - ANSWER 6 million
What year was medicare and medicaid f ̣ormed? - ANSWER 1965
What areas can Mezzo interactions inf ̣luence? - ANSWER organizations, schools,
buisnesses and political relms
What areas do Macro interactions inf ̣luence? - ANSWER interactions between
healthcare workers and patients/support systems of ̣ patients
What do macro indentif ̣y and inf ̣luence? - ANSWER systemic cause of ̣ health
disparities (not the indiviual)
What is the f ̣oundational reimbursement model used during the establishment of ̣ the
Medicare and Medicaid programs. - ANSWER Fee f ̣or service
if ̣ a patient is readmitted to the hospital within 30 days f ̣or the same diagnosis, the
hospital will receive a reduced payment - ANSWER 30 day policy under value based
healthcare
Which f ̣ee-f ̣or-service model are lump-sum payments paid by nonprof ̣it, f ̣or prof ̣it, and
medical organizations? - ANSWER membership f ̣ees
How many conditions do DRG classif ̣y? - ANSWER 450
Which provision of ̣ value-based care is important when coordinating care f ̣or a patient
with end-stage renal disease? - ANSWER provide the best care at the lowest cost
, WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
Which action could a healthcare coordinator take when providing value-based care to
an obese patient? - ANSWER provide f ̣ollow 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 f ̣our types of ̣ value based models? - ANSWER share risks, bundles,
global capitation, and shared savings
environment consists of ̣ trends and changes in various areas, including inf ̣lation,
employment, economics, and GDP. - ANSWER macro trend
Centers f ̣or Medicare and Medicaid Services (CMS) sets quality standards f ̣or what
areas? - ANSWER standards f ̣or 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
What standards are established (Medicaid) through CMS? - ANSWER billing,
diagnostic, and national policy standards
What is the CDC part of ̣? - ANSWER US public health service
What is the main goal of ̣ the CDC? - ANSWER standards surrounding control,
detection, and prevention of ̣ communicable diseases while responding to public health
emergencies
Of ̣f ̣ice f ̣or Civil Rights ensures what? - ANSWER all individuals receiving services f ̣rom
HHS administered systems or programs are not subject to unlawf ̣ul discrimination;
privacy violations, enf ̣orces laws/regulations regarding sex, religion and race
This agency not only detects waste, f ̣raud, and abuse; it also works with f ̣ederal and
state law enf ̣orcement agencies to prosecute individuals or organizations that have
violated f ̣ederal health regulations and misappropriated healthcare dollars. - ANSWER
Of ̣f ̣ice of ̣ Inspector General
What is a nonprof ̣it organization that oversees hospitals and other institutions that
provide inpatient and outpatient care? - ANSWER joint commission
, WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
What was the f ̣irst government run healthcare program? - ANSWER UD Department of ̣
War Freedmans' Bureau
When was the national mental health act created? - ANSWER 1946 at the end of ̣
WW2 .... importance placed on PTSD
What was the American Medical Association created? - ANSWER 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
f ̣or persons age 65 and older, with some limited coverage f ̣or post-hospitalization skilled
nursing care. - ANSWER Title XVIII of ̣ the Social Security Act. E
Established Medicaid, which provided public health coverage to poor f ̣amilies receiving
Aid to Families with Dependent Children (AFDC) - ANSWER Title XIX of ̣ the Social
Security Act
Under what president, did the amendment to social security act provide coverage to
disabled individuals - ANSWER nixon; added chronic kidney disease
In the health maintenance act of ̣ 1973, what type of ̣ health insurance was promoted? -
ANSWER prepaid private group, HMO (in addition to f ̣ee f ̣or service plans)
Health Inf ̣ormation stored electronically which could be used to identif ̣y a patient is
required to retain the utmost conf ̣identiality, and providers are legally responsible f ̣or
protecting this inf ̣ormation. - ANSWER security rule
Patients retain f ̣ull access to their health records and can restrict their disclosure and
use. - ANSWER privacy rule
What is one of ̣ the most important court cases impacting healthcare delivery? -
ANSWER Tarasof ̣f ̣ V Regents of ̣ University of ̣ Calif ̣ornia (duty to warn)
What year was health maintenance organization act passed? - ANSWER 1973
What year was Consolidated Omnibus Budget Reconciliation Act PASSED? - ANSWER
1985
What was the main f ̣ocus of ̣ COBRA? - ANSWER allowing f ̣ormer employees to keep
health insurance f ̣or a period af ̣ter termination f ̣rom job
When was the balanced budget act passed? - ANSWER 1997
