WGU Performance Assessment 5/26/26, 10:05 AM
VBM1 — VBM1 TASK 1: EXAMINING HEALTHCARE
REIMBURSEMENT SYSTEMS
HEALTHCARE REIMBURSEMENT — C812
PRFA — VBM1
Preparation Task Overview Submissions Evaluation Report
COMPETENCIES
7032.1.1 : Reimbursement Methodologies
The graduate analyzes contemporary healthcare reimbursement methodologies and systems used in the
United States.
7032.1.3 : Government-Sponsored Healthcare Programs, Including Medicare and Medicaid
The graduate analyzes the impact of government policies on various government-sponsored healthcare
programs.
7032.1.4 : Reimbursement Systems
The graduate analyzes how third-party payment calculations impact healthcare reimbursement in
healthcare organizations.
INTRODUCTION
The healthcare reimbursement systems in the United States are complex. A health information
management professional needs an understanding of the basic principles of the third-party payer system
and the many options that are available to citizens through government-funded healthcare programs.
Private and commercial insurance companies offer a different menu of options to their clients. All third-
party payers are interested in decreasing healthcare costs while improving quality and controlling access
to unneeded services.
In this task, you will examine the complexity of the healthcare reimbursement systems and begin to
compare the similarities and differences between them. To complete this task, you will discuss each type
of healthcare insurance plan listed, as well as the plan components, reimbursement provisions,
restrictions, and the impact of government regulations.
REQUIREMENTS
https://tasks.wgu.edu/student/011193599/course/35320019/task/3292/overview Page 1 of 6
, WGU Performance Assessment 5/26/26, 10:05 AM
REQUIREMENTS
Your submission must represent your original work and understanding of the course material. Most
performance assessment submissions are automatically scanned through the WGU similarity checker.
Students are strongly encouraged to wait for the similarity report to generate after uploading their work
and then review it to ensure Academic Authenticity guidelines are met before submitting the file for
evaluation. See Understanding Similarity Reports for more information.
Grammarly Note:
Professional Communication will be automatically assessed through Grammarly for Education in most
performance assessments before a student submits work for evaluation. Students are strongly
encouraged to review the Grammarly for Education feedback prior to submitting work for evaluation, as
the overall submission will not pass without this aspect passing. See Use Grammarly for Education
Effectively for more information.
Microsoft Files Note:
Write your paper in Microsoft Word (.doc or .docx) unless another Microsoft product, or pdf, is specified
in the task directions. Tasks may not be submitted as cloud links, such as links to Google Docs, Google
Slides, OneDrive, etc. All supporting documentation, such as screenshots and proof of experience, should
be collected in a pdf file and submitted separately from the main file. For more information, please
see Computer System and Technology Requirements.
You must use the rubric to direct the creation of your submission because it provides detailed criteria
that will be used to evaluate your work. Each requirement below may be evaluated by more than one
rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Discuss the components of each of the following insurance plans:
• indemnity plans
• managed care plans
• government-sponsored health plans (i.e., Medicare, Medicaid, and other government payers).
• high-deductible health plans/healthcare savings accounts
B. Discuss the restrictions of each of the following insurance plans:
• indemnity plans
• managed care plans
• government-sponsored health plans (i.e., Medicare, Medicaid, and other government payers).
• high-deductible health plans/healthcare savings accounts
C. Discuss the reimbursement process for each of the following insurance plans:
• indemnity plans
• managed care plans
• government-sponsored health plans (i.e., Medicaid and other government payers).
• high-deductible health plans/healthcare savings accounts
https://tasks.wgu.edu/student/011193599/course/35320019/task/3292/overview Page 2 of 6
VBM1 — VBM1 TASK 1: EXAMINING HEALTHCARE
REIMBURSEMENT SYSTEMS
HEALTHCARE REIMBURSEMENT — C812
PRFA — VBM1
Preparation Task Overview Submissions Evaluation Report
COMPETENCIES
7032.1.1 : Reimbursement Methodologies
The graduate analyzes contemporary healthcare reimbursement methodologies and systems used in the
United States.
7032.1.3 : Government-Sponsored Healthcare Programs, Including Medicare and Medicaid
The graduate analyzes the impact of government policies on various government-sponsored healthcare
programs.
7032.1.4 : Reimbursement Systems
The graduate analyzes how third-party payment calculations impact healthcare reimbursement in
healthcare organizations.
INTRODUCTION
The healthcare reimbursement systems in the United States are complex. A health information
management professional needs an understanding of the basic principles of the third-party payer system
and the many options that are available to citizens through government-funded healthcare programs.
Private and commercial insurance companies offer a different menu of options to their clients. All third-
party payers are interested in decreasing healthcare costs while improving quality and controlling access
to unneeded services.
In this task, you will examine the complexity of the healthcare reimbursement systems and begin to
compare the similarities and differences between them. To complete this task, you will discuss each type
of healthcare insurance plan listed, as well as the plan components, reimbursement provisions,
restrictions, and the impact of government regulations.
REQUIREMENTS
https://tasks.wgu.edu/student/011193599/course/35320019/task/3292/overview Page 1 of 6
, WGU Performance Assessment 5/26/26, 10:05 AM
REQUIREMENTS
Your submission must represent your original work and understanding of the course material. Most
performance assessment submissions are automatically scanned through the WGU similarity checker.
Students are strongly encouraged to wait for the similarity report to generate after uploading their work
and then review it to ensure Academic Authenticity guidelines are met before submitting the file for
evaluation. See Understanding Similarity Reports for more information.
Grammarly Note:
Professional Communication will be automatically assessed through Grammarly for Education in most
performance assessments before a student submits work for evaluation. Students are strongly
encouraged to review the Grammarly for Education feedback prior to submitting work for evaluation, as
the overall submission will not pass without this aspect passing. See Use Grammarly for Education
Effectively for more information.
Microsoft Files Note:
Write your paper in Microsoft Word (.doc or .docx) unless another Microsoft product, or pdf, is specified
in the task directions. Tasks may not be submitted as cloud links, such as links to Google Docs, Google
Slides, OneDrive, etc. All supporting documentation, such as screenshots and proof of experience, should
be collected in a pdf file and submitted separately from the main file. For more information, please
see Computer System and Technology Requirements.
You must use the rubric to direct the creation of your submission because it provides detailed criteria
that will be used to evaluate your work. Each requirement below may be evaluated by more than one
rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Discuss the components of each of the following insurance plans:
• indemnity plans
• managed care plans
• government-sponsored health plans (i.e., Medicare, Medicaid, and other government payers).
• high-deductible health plans/healthcare savings accounts
B. Discuss the restrictions of each of the following insurance plans:
• indemnity plans
• managed care plans
• government-sponsored health plans (i.e., Medicare, Medicaid, and other government payers).
• high-deductible health plans/healthcare savings accounts
C. Discuss the reimbursement process for each of the following insurance plans:
• indemnity plans
• managed care plans
• government-sponsored health plans (i.e., Medicaid and other government payers).
• high-deductible health plans/healthcare savings accounts
https://tasks.wgu.edu/student/011193599/course/35320019/task/3292/overview Page 2 of 6
