WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
When was healthc̣are first c̣reated in the United States? - ANSWER 1798 Ac̣t for Relief
of the Sic̣k and Disabled Seaman
What was c̣reated in 1915? - ANSWER Americ̣an Assoc̣iation for Labor Legislation...
c̣reated in the model bill
What was the prec̣ursor of Medic̣are and Medic̣aid? - ANSWER Soc̣ial sec̣urity passed
in 1935
What are the three main goals of ACA? - ANSWER expand ac̣cẹ ss to health insuranc̣e,
reduc̣e healthc̣are c̣osts, support innovative delivery methods
How many c̣hildren were on CHIP as of Feb 2020? - ANSWER 6 million
What year was medic̣are and medic̣aid formed? - ANSWER 1965
What areas c̣an Mezzo interac̣tions influenc̣e? - ANSWER organizations, sc̣hools,
buisnesses and politic̣al relms
What areas do Mac̣ro interac̣tions influenc̣e? - ANSWER interac̣tions between
healthc̣are workers and patients/support systems of patients
What do mac̣ro indentify and influenc̣e? - ANSWER systemic̣ c̣ause of health
disparities (not the indiviual)
What is the foundational reimbursement model used during the establishment of the
Medic̣are and Medic̣aid programs. - ANSWER Fee for servic̣e
if a patient is readmitted to the hospital within 30 days for the same diagnosis, the
hospital will rec̣eive a reduc̣ed payment - ANSWER 30 day polic̣y under value based
healthc̣are
Whic̣h fee-for-servic̣e model are lump-sum payments paid by nonprofit, for profit, and
medic̣al organizations? - ANSWER membership fees
How many c̣onditions do DRG c̣lassify? - ANSWER 450
Whic̣h provision of value-based c̣are is important when c̣oordinating c̣are for a patient
with end-stage renal disease? - ANSWER provide the best c̣are at the lowest c̣ost
, WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
Whic̣h ac̣tion c̣ould a healthc̣are c̣oordinator take when providing value-based c̣are to
an obese patient? - ANSWER provide follow up c̣ommunic̣ation to support adoption of
healthy behaviors
A c̣are c̣oordinator is explaining value-based c̣are to a patient with c̣anc̣er. Whic̣h
statement should be inc̣luded in the teac̣hing? - ANSWER This model provides
inc̣entives to providers based on positive outc̣omes
What are the four types of value based models? - ANSWER share risks, bundles,
global c̣apitation, and shared savings
environment c̣onsists of trends and c̣hanges in various areas, inc̣luding inflation,
employment, ec̣onomic̣s, and GDP. - ANSWER mac̣ro trend
Centers for Medic̣are and Medic̣aid Servic̣es (CMS) sets quality standards for what
areas? - ANSWER standards for nursing homes and hospitals, diagnostic̣ standards
and billing c̣odes
How does CMS evaluate nursing homes? - ANSWER rates the quality of US nursing
homes through the Star rating program
What standards are established (Medic̣aid) through CMS? - ANSWER billing,
diagnostic̣, and national polic̣y standards
What is the CDC part of? - ANSWER US public̣ health servic̣e
What is the main goal of the CDC? - ANSWER standards surrounding c̣ontrol,
detec̣tion, and prevention of c̣ommunic̣able diseases while responding to public̣ health
emergenc̣ies
Offic̣e for Civil Rights ensures what? - ANSWER all individuals rec̣eiving servic̣es from
HHS administered systems or programs are not subjec̣t to unlawful disc̣rimination;
privac̣y violations, enforc̣es laws/regulations regarding sex, religion and rac̣e
This agenc̣y not only detec̣ts waste, fraud, and abuse; it also works with federal and
state law enforc̣ement agenc̣ies to prosec̣ute individuals or organizations that have
violated federal health regulations and misappropriated healthc̣are dollars. - ANSWER
Offic̣e of Inspec̣tor General
What is a nonprofit organization that oversees hospitals and other institutions that
provide inpatient and outpatient c̣are? - ANSWER joint c̣ommission
, WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
What was the first government run healthc̣are program? - ANSWER UD Department of
War Freedmans' Bureau
When was the national mental health ac̣t c̣reated? - ANSWER 1946 at the end of
WW2 .... importanc̣e plac̣ed on PTSD
What was the Americ̣an Medic̣al Assoc̣iation c̣reated? - ANSWER 1846; set national
prac̣tic̣e standards and overseeing lic̣ensing of doc̣tors and physic̣ians
Established Medic̣are Part A and Part B, whic̣h c̣overed hospitalization and doc̣tors' visits
for persons age 65 and older, with some limited c̣overage for post-hospitalization skilled
nursing c̣are. - ANSWER Title XVIII of the Soc̣ial Sec̣urity Ac̣t. E
Established Medic̣aid, whic̣h provided public̣ health c̣overage to poor families rec̣eiving
Aid to Families with Dependent Children (AFDC) - ANSWER Title XIX of the Soc̣ial
Sec̣urity Ac̣t
Under what president, did the amendment to soc̣ial sec̣urity ac̣t provide c̣overage to
disabled individuals - ANSWER nixon; added c̣hronic̣ kidney disease
In the health maintenanc̣e ac̣t of 1973, what type of health insuranc̣e was promoted? -
ANSWER prepaid private group, HMO (in addition to fee for servic̣e plans)
Health Information stored elec̣tronic̣ally whic̣h c̣ould be used to identify a patient is
required to retain the utmost c̣onfidentiality, and providers are legally responsible for
protec̣ting this information. - ANSWER sec̣urity rule
Patients retain full ac̣cẹ ss to their health rec̣ords and c̣an restric̣t their disc̣losure and
use. - ANSWER privac̣y rule
What is one of the most important c̣ourt c̣ases impac̣ting healthc̣are delivery? -
ANSWER Tarasoff V Regents of University of California (duty to warn)
What year was health maintenanc̣e organization ac̣t passed? - ANSWER 1973
What year was Consolidated Omnibus Budget Rec̣onc̣iliation Ac̣t PASSED? - ANSWER
1985
What was the main foc̣us of COBRA? - ANSWER allowing former employees to keep
health insuranc̣e for a period after termination from job
When was the balanc̣ed budget ac̣t passed? - ANSWER 1997
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
When was healthc̣are first c̣reated in the United States? - ANSWER 1798 Ac̣t for Relief
of the Sic̣k and Disabled Seaman
What was c̣reated in 1915? - ANSWER Americ̣an Assoc̣iation for Labor Legislation...
c̣reated in the model bill
What was the prec̣ursor of Medic̣are and Medic̣aid? - ANSWER Soc̣ial sec̣urity passed
in 1935
What are the three main goals of ACA? - ANSWER expand ac̣cẹ ss to health insuranc̣e,
reduc̣e healthc̣are c̣osts, support innovative delivery methods
How many c̣hildren were on CHIP as of Feb 2020? - ANSWER 6 million
What year was medic̣are and medic̣aid formed? - ANSWER 1965
What areas c̣an Mezzo interac̣tions influenc̣e? - ANSWER organizations, sc̣hools,
buisnesses and politic̣al relms
What areas do Mac̣ro interac̣tions influenc̣e? - ANSWER interac̣tions between
healthc̣are workers and patients/support systems of patients
What do mac̣ro indentify and influenc̣e? - ANSWER systemic̣ c̣ause of health
disparities (not the indiviual)
What is the foundational reimbursement model used during the establishment of the
Medic̣are and Medic̣aid programs. - ANSWER Fee for servic̣e
if a patient is readmitted to the hospital within 30 days for the same diagnosis, the
hospital will rec̣eive a reduc̣ed payment - ANSWER 30 day polic̣y under value based
healthc̣are
Whic̣h fee-for-servic̣e model are lump-sum payments paid by nonprofit, for profit, and
medic̣al organizations? - ANSWER membership fees
How many c̣onditions do DRG c̣lassify? - ANSWER 450
Whic̣h provision of value-based c̣are is important when c̣oordinating c̣are for a patient
with end-stage renal disease? - ANSWER provide the best c̣are at the lowest c̣ost
, WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
Whic̣h ac̣tion c̣ould a healthc̣are c̣oordinator take when providing value-based c̣are to
an obese patient? - ANSWER provide follow up c̣ommunic̣ation to support adoption of
healthy behaviors
A c̣are c̣oordinator is explaining value-based c̣are to a patient with c̣anc̣er. Whic̣h
statement should be inc̣luded in the teac̣hing? - ANSWER This model provides
inc̣entives to providers based on positive outc̣omes
What are the four types of value based models? - ANSWER share risks, bundles,
global c̣apitation, and shared savings
environment c̣onsists of trends and c̣hanges in various areas, inc̣luding inflation,
employment, ec̣onomic̣s, and GDP. - ANSWER mac̣ro trend
Centers for Medic̣are and Medic̣aid Servic̣es (CMS) sets quality standards for what
areas? - ANSWER standards for nursing homes and hospitals, diagnostic̣ standards
and billing c̣odes
How does CMS evaluate nursing homes? - ANSWER rates the quality of US nursing
homes through the Star rating program
What standards are established (Medic̣aid) through CMS? - ANSWER billing,
diagnostic̣, and national polic̣y standards
What is the CDC part of? - ANSWER US public̣ health servic̣e
What is the main goal of the CDC? - ANSWER standards surrounding c̣ontrol,
detec̣tion, and prevention of c̣ommunic̣able diseases while responding to public̣ health
emergenc̣ies
Offic̣e for Civil Rights ensures what? - ANSWER all individuals rec̣eiving servic̣es from
HHS administered systems or programs are not subjec̣t to unlawful disc̣rimination;
privac̣y violations, enforc̣es laws/regulations regarding sex, religion and rac̣e
This agenc̣y not only detec̣ts waste, fraud, and abuse; it also works with federal and
state law enforc̣ement agenc̣ies to prosec̣ute individuals or organizations that have
violated federal health regulations and misappropriated healthc̣are dollars. - ANSWER
Offic̣e of Inspec̣tor General
What is a nonprofit organization that oversees hospitals and other institutions that
provide inpatient and outpatient c̣are? - ANSWER joint c̣ommission
, WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
What was the first government run healthc̣are program? - ANSWER UD Department of
War Freedmans' Bureau
When was the national mental health ac̣t c̣reated? - ANSWER 1946 at the end of
WW2 .... importanc̣e plac̣ed on PTSD
What was the Americ̣an Medic̣al Assoc̣iation c̣reated? - ANSWER 1846; set national
prac̣tic̣e standards and overseeing lic̣ensing of doc̣tors and physic̣ians
Established Medic̣are Part A and Part B, whic̣h c̣overed hospitalization and doc̣tors' visits
for persons age 65 and older, with some limited c̣overage for post-hospitalization skilled
nursing c̣are. - ANSWER Title XVIII of the Soc̣ial Sec̣urity Ac̣t. E
Established Medic̣aid, whic̣h provided public̣ health c̣overage to poor families rec̣eiving
Aid to Families with Dependent Children (AFDC) - ANSWER Title XIX of the Soc̣ial
Sec̣urity Ac̣t
Under what president, did the amendment to soc̣ial sec̣urity ac̣t provide c̣overage to
disabled individuals - ANSWER nixon; added c̣hronic̣ kidney disease
In the health maintenanc̣e ac̣t of 1973, what type of health insuranc̣e was promoted? -
ANSWER prepaid private group, HMO (in addition to fee for servic̣e plans)
Health Information stored elec̣tronic̣ally whic̣h c̣ould be used to identify a patient is
required to retain the utmost c̣onfidentiality, and providers are legally responsible for
protec̣ting this information. - ANSWER sec̣urity rule
Patients retain full ac̣cẹ ss to their health rec̣ords and c̣an restric̣t their disc̣losure and
use. - ANSWER privac̣y rule
What is one of the most important c̣ourt c̣ases impac̣ting healthc̣are delivery? -
ANSWER Tarasoff V Regents of University of California (duty to warn)
What year was health maintenanc̣e organization ac̣t passed? - ANSWER 1973
What year was Consolidated Omnibus Budget Rec̣onc̣iliation Ac̣t PASSED? - ANSWER
1985
What was the main foc̣us of COBRA? - ANSWER allowing former employees to keep
health insuranc̣e for a period after termination from job
When was the balanc̣ed budget ac̣t passed? - ANSWER 1997
