WGU D050 300 QUESTIONS AND ANSWERS
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
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 Legị slation...
created in the model bill
What was the precursor of Medicare and Medicaid? - ANSWER Social security passed
in 1935
What are the three main go
̣ als 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 formed? - ANSWER 1965
What areas can Mezzo interactions influence? - ANSWER orga
̣ nizations, 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 progṛ ams. - ANSWER Fee for service
if a patient is readmitted to the hospital within 30 days for the same diag n
̣ osis, 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 orga
̣ nizations? - ANSWER membership fees
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
, 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 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,
gḷ obal capitation, and shared savingṣ
environment consists of trends and change
̣ s in various areas, including ̣ inflation,
employment, economics, and GDP. - ANSWER macro trend
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
̣
What standards are established (Medicaid) throug h
̣ CMS? - ANSWER billing,̣
diagn
̣ ostic, 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
emerge ̣ ncies
Office for Civil Righ
̣ ts ensures what? - ANSWER all individuals receiving ̣ services from
HHS administered systems or progṛ ams are not subject to unlawful discrimination;
privacy violations, enforces laws/regụ lations rega
̣ rding ̣ sex, religị on and race
This agẹ ncy not only detects waste, fraud, and abuse; it also works with federal and
state law enforcement agencies
̣ to prosecute individuals or organizations
̣ that have
violated federal health regu ̣ lations and misappropriated healthcare dollars. - ANSWER
Office of Inspector General
What is a nonprofit orga
̣ nization 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 first go
̣ vernment run healthcare progṛ am? - 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
for persons age
̣ 65 and older, with some limited coverage
̣ for post-hospitalization skilled
nursing ̣ care. - ANSWER Title XVIII of the Social Security Act. E
Established Medicaid, which provided public health coverag e
̣ to poor families 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 coverag e
̣ 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 fee for service plans)
Health Information stored electronically which could be used to identify a patient is
required to retain the utmost confidentiality, and providers are leg a
̣ lly responsible for
protecting ̣ this information. - ANSWER security rule
Patients retain full 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 Tarasoff V Regents
̣ of University of California (duty to warn)
What year was health maintenance orga
̣ nization act passed? - ANSWER 1973
What year was Consolidated Omnibus Budge
̣ t Reconciliation Act PASSED? - ANSWER
1985
What was the main focus of COBRA? - ANSWER allowing ̣ former employees to keep
health insurance for a period after termination from job
When was the balanced budge
̣ t act passed? - ANSWER 1997
HISTORY OF HEALTHCARE IN AMERICA FINAL
EXAM RAKED A+ 2026.
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 Legị slation...
created in the model bill
What was the precursor of Medicare and Medicaid? - ANSWER Social security passed
in 1935
What are the three main go
̣ als 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 formed? - ANSWER 1965
What areas can Mezzo interactions influence? - ANSWER orga
̣ nizations, 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 progṛ ams. - ANSWER Fee for service
if a patient is readmitted to the hospital within 30 days for the same diag n
̣ osis, 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 orga
̣ nizations? - ANSWER membership fees
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
, 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 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,
gḷ obal capitation, and shared savingṣ
environment consists of trends and change
̣ s in various areas, including ̣ inflation,
employment, economics, and GDP. - ANSWER macro trend
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
̣
What standards are established (Medicaid) throug h
̣ CMS? - ANSWER billing,̣
diagn
̣ ostic, 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
emerge ̣ ncies
Office for Civil Righ
̣ ts ensures what? - ANSWER all individuals receiving ̣ services from
HHS administered systems or progṛ ams are not subject to unlawful discrimination;
privacy violations, enforces laws/regụ lations rega
̣ rding ̣ sex, religị on and race
This agẹ ncy not only detects waste, fraud, and abuse; it also works with federal and
state law enforcement agencies
̣ to prosecute individuals or organizations
̣ that have
violated federal health regu ̣ lations and misappropriated healthcare dollars. - ANSWER
Office of Inspector General
What is a nonprofit orga
̣ nization 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 first go
̣ vernment run healthcare progṛ am? - 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
for persons age
̣ 65 and older, with some limited coverage
̣ for post-hospitalization skilled
nursing ̣ care. - ANSWER Title XVIII of the Social Security Act. E
Established Medicaid, which provided public health coverag e
̣ to poor families 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 coverag e
̣ 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 fee for service plans)
Health Information stored electronically which could be used to identify a patient is
required to retain the utmost confidentiality, and providers are leg a
̣ lly responsible for
protecting ̣ this information. - ANSWER security rule
Patients retain full 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 Tarasoff V Regents
̣ of University of California (duty to warn)
What year was health maintenance orga
̣ nization act passed? - ANSWER 1973
What year was Consolidated Omnibus Budge
̣ t Reconciliation Act PASSED? - ANSWER
1985
What was the main focus of COBRA? - ANSWER allowing ̣ former employees to keep
health insurance for a period after termination from job
When was the balanced budge
̣ t act passed? - ANSWER 1997
