WGU • HEALTHCARE ECOSYSTEMS • OBJECTIVE ASSESSMENT
WGU D391 OA Revision Worksheet
Healthcare Ecosystems A+
2026/2027 Official Exam
2026/2027 Update • 100% Verified Questions & Answers • Grade A
A+ 5 100%
QUESTIONS EXAM DOMAINS RATIONALES
VERIFIED COVERED INCLUDED
CATEGORIES
■ Stakeholders & Healthcare Aims
■ Insurance, Coverage & Public Programs
■ Reimbursement & Payment Models
■ Regulation, Privacy & Quality
■ Access Barriers, Equity & System Challenges
Exam Parameters
Difficulty: Intermediate Healthcare Ecosystems | Question Type: Multiple Choice (A–D)
Marks: 1 per question | Passing Score: 75%
Bloom’s Level: Application / Analysis
Instructions
Select the single best answer for each question. Rationales follow each item. Content is original and aligned to WGU D391 Healthcare
Ecosystems domains: stakeholders, aims (access, affordability, quality), insurance, reimbursement, regulation, and equity.
STUVIAACTUALEXAM
STUVIAACTUALEXAM Page 1
, SECTION 1 — Stakeholders & Healthcare Aims
Q1. A hospital submits claims for services provided to insured patients. The stakeholder primarily responsible for reimbursing the
hospital for covered services is the:
A. Regulator who writes clinical guidelines
B. Payer (insurer, Medicare, Medicaid, or similar funder)
C. Medical device manufacturer
D. Patient’s employer only, regardless of insurance
Correct Answer: B
Rationale: Payers (also called funders or purchasers) reimburse providers for covered services. Providers deliver care; regulators set rules;
producers supply products.
Q2. The three primary aims often used to evaluate a healthcare ecosystem are access, affordability, and quality. A policy that
expands insurance coverage to previously uninsured adults most directly improves:
A. Access to care by reducing the barrier of being uninsured
B. Only the price of prescription drugs
C. The number of medical schools only
D. Hospital construction costs exclusively
Correct Answer: A
Rationale: Insurance coverage is a major determinant of access. Expanding coverage removes a primary financial barrier to seeking and
receiving care.
Q3. A primary care clinic provides annual wellness visits, immunizations, and management of hypertension. This level of care is
best classified as:
A. Tertiary care
B. Quaternary experimental care only
C. Emergency trauma care
D. Primary care
Correct Answer: D
Rationale: Primary care focuses on prevention, first-contact care, and ongoing management of common conditions. Tertiary care is highly
specialized; emergency care addresses acute life threats.
Q4. A patient is referred from a family physician to an orthopedic surgeon for evaluation of a complex knee injury. The orthopedic
visit represents:
A. Primary preventive care
B. Secondary (specialty) care
C. Only home health care
D. Public health surveillance
Correct Answer: B
Rationale: Secondary care is specialty care provided by clinicians with advanced training in a particular field, often by referral from primary care.
Q5. Regulators in the healthcare ecosystem primarily:
A. Deliver bedside nursing care to individual patients
B. Set and enforce rules, standards, and protections that shape how care is delivered and paid for
C. Manufacture pharmaceuticals
D. Pay every medical claim from their personal funds
Correct Answer: B
Rationale: Regulators (e.g., CMS, FDA, state boards, HHS) create and enforce the legal and policy framework that governs providers, payers,
and producers.
STUVIAACTUALEXAM Page 2
WGU D391 OA Revision Worksheet
Healthcare Ecosystems A+
2026/2027 Official Exam
2026/2027 Update • 100% Verified Questions & Answers • Grade A
A+ 5 100%
QUESTIONS EXAM DOMAINS RATIONALES
VERIFIED COVERED INCLUDED
CATEGORIES
■ Stakeholders & Healthcare Aims
■ Insurance, Coverage & Public Programs
■ Reimbursement & Payment Models
■ Regulation, Privacy & Quality
■ Access Barriers, Equity & System Challenges
Exam Parameters
Difficulty: Intermediate Healthcare Ecosystems | Question Type: Multiple Choice (A–D)
Marks: 1 per question | Passing Score: 75%
Bloom’s Level: Application / Analysis
Instructions
Select the single best answer for each question. Rationales follow each item. Content is original and aligned to WGU D391 Healthcare
Ecosystems domains: stakeholders, aims (access, affordability, quality), insurance, reimbursement, regulation, and equity.
STUVIAACTUALEXAM
STUVIAACTUALEXAM Page 1
, SECTION 1 — Stakeholders & Healthcare Aims
Q1. A hospital submits claims for services provided to insured patients. The stakeholder primarily responsible for reimbursing the
hospital for covered services is the:
A. Regulator who writes clinical guidelines
B. Payer (insurer, Medicare, Medicaid, or similar funder)
C. Medical device manufacturer
D. Patient’s employer only, regardless of insurance
Correct Answer: B
Rationale: Payers (also called funders or purchasers) reimburse providers for covered services. Providers deliver care; regulators set rules;
producers supply products.
Q2. The three primary aims often used to evaluate a healthcare ecosystem are access, affordability, and quality. A policy that
expands insurance coverage to previously uninsured adults most directly improves:
A. Access to care by reducing the barrier of being uninsured
B. Only the price of prescription drugs
C. The number of medical schools only
D. Hospital construction costs exclusively
Correct Answer: A
Rationale: Insurance coverage is a major determinant of access. Expanding coverage removes a primary financial barrier to seeking and
receiving care.
Q3. A primary care clinic provides annual wellness visits, immunizations, and management of hypertension. This level of care is
best classified as:
A. Tertiary care
B. Quaternary experimental care only
C. Emergency trauma care
D. Primary care
Correct Answer: D
Rationale: Primary care focuses on prevention, first-contact care, and ongoing management of common conditions. Tertiary care is highly
specialized; emergency care addresses acute life threats.
Q4. A patient is referred from a family physician to an orthopedic surgeon for evaluation of a complex knee injury. The orthopedic
visit represents:
A. Primary preventive care
B. Secondary (specialty) care
C. Only home health care
D. Public health surveillance
Correct Answer: B
Rationale: Secondary care is specialty care provided by clinicians with advanced training in a particular field, often by referral from primary care.
Q5. Regulators in the healthcare ecosystem primarily:
A. Deliver bedside nursing care to individual patients
B. Set and enforce rules, standards, and protections that shape how care is delivered and paid for
C. Manufacture pharmaceuticals
D. Pay every medical claim from their personal funds
Correct Answer: B
Rationale: Regulators (e.g., CMS, FDA, state boards, HHS) create and enforce the legal and policy framework that governs providers, payers,
and producers.
STUVIAACTUALEXAM Page 2
