WGU Healthcare Systems Assessment
PRACTICE TEST 2026 | QUESTIONS WITH
ANSWERS & DETAILED EXPLANATIONS STUDY
GUIDE LATEST UPDATE THIS YEAR INSTANT
DOWNLOAD PDF
,WGU Healthcare Systems Assessment
1. Which of the following best defines a healthcare delivery system?
A. A single hospital providing care to a community
B. The organized network of people, institutions, and resources that deliver health care services
C. A government agency that regulates insurance companies
D. A private company that sells medical supplies
Answer: B
Rationale: A healthcare delivery system encompasses all the components—people, institutions, and resources—that work
together to meet the health needs of a population.
2. What is the primary purpose of the Patient Protection and Affordable Care Act (ACA) of 2010?
A. To eliminate private health insurance
B. To increase the number of uninsured Americans
C. To expand access to health insurance and improve healthcare quality
D. To reduce funding for Medicare
Answer: C
,Rationale: The ACA was enacted to expand health insurance coverage, improve quality, and reduce healthcare costs.
3. Which government program provides health insurance for individuals aged 65 and older?
A. Medicaid
B. Medicare
C. CHIP
D. TRICARE
Answer: B
Rationale: Medicare is a federal program primarily for people aged 65+, as well as certain younger people with disabilities.
4. What is the main difference between Medicare and Medicaid?
A. Medicare is state-funded; Medicaid is federally funded
B. Medicare is for low-income individuals; Medicaid is for the elderly
C. Medicare is federally funded for the elderly/disabled; Medicaid is jointly funded for low-income individuals
D. There is no difference
Answer: C
Rationale: Medicare is a federal program for the elderly and disabled. Medicaid is a joint federal-state program for low-
income individuals and families.
, 5. In the context of healthcare, what does "capitation" mean?
A. A payment model where providers are paid for each service rendered
B. A fixed payment per patient per period, regardless of services used
C. A penalty for hospital readmissions
D. A government subsidy for rural hospitals
Answer: B
Rationale: Capitation is a payment arrangement where a provider receives a set amount per patient for a specific time
period, incentivizing cost-effective care.
6. Which of the following is an example of a prospective payment system (PPS)?
A. Fee-for-service
B. Diagnosis-Related Groups (DRGs)
C. Capitation
D. Pay-for-performance
Answer: B
Rationale: DRGs are a prospective payment system where hospitals are paid a fixed amount based on the patient's
diagnosis, regardless of actual costs.
PRACTICE TEST 2026 | QUESTIONS WITH
ANSWERS & DETAILED EXPLANATIONS STUDY
GUIDE LATEST UPDATE THIS YEAR INSTANT
DOWNLOAD PDF
,WGU Healthcare Systems Assessment
1. Which of the following best defines a healthcare delivery system?
A. A single hospital providing care to a community
B. The organized network of people, institutions, and resources that deliver health care services
C. A government agency that regulates insurance companies
D. A private company that sells medical supplies
Answer: B
Rationale: A healthcare delivery system encompasses all the components—people, institutions, and resources—that work
together to meet the health needs of a population.
2. What is the primary purpose of the Patient Protection and Affordable Care Act (ACA) of 2010?
A. To eliminate private health insurance
B. To increase the number of uninsured Americans
C. To expand access to health insurance and improve healthcare quality
D. To reduce funding for Medicare
Answer: C
,Rationale: The ACA was enacted to expand health insurance coverage, improve quality, and reduce healthcare costs.
3. Which government program provides health insurance for individuals aged 65 and older?
A. Medicaid
B. Medicare
C. CHIP
D. TRICARE
Answer: B
Rationale: Medicare is a federal program primarily for people aged 65+, as well as certain younger people with disabilities.
4. What is the main difference between Medicare and Medicaid?
A. Medicare is state-funded; Medicaid is federally funded
B. Medicare is for low-income individuals; Medicaid is for the elderly
C. Medicare is federally funded for the elderly/disabled; Medicaid is jointly funded for low-income individuals
D. There is no difference
Answer: C
Rationale: Medicare is a federal program for the elderly and disabled. Medicaid is a joint federal-state program for low-
income individuals and families.
, 5. In the context of healthcare, what does "capitation" mean?
A. A payment model where providers are paid for each service rendered
B. A fixed payment per patient per period, regardless of services used
C. A penalty for hospital readmissions
D. A government subsidy for rural hospitals
Answer: B
Rationale: Capitation is a payment arrangement where a provider receives a set amount per patient for a specific time
period, incentivizing cost-effective care.
6. Which of the following is an example of a prospective payment system (PPS)?
A. Fee-for-service
B. Diagnosis-Related Groups (DRGs)
C. Capitation
D. Pay-for-performance
Answer: B
Rationale: DRGs are a prospective payment system where hospitals are paid a fixed amount based on the patient's
diagnosis, regardless of actual costs.
