WGU: HISTORY OF HEALTHCARE IN
AMERICA D050 WITH 100% VERIFIED
SOLUTIONS
When was healthcare first created in the United States? - 1798 Act for Relief of the
Sick and Disabled Seaman
What was created in 1915? - American Association for Labor Legislation... created in
the model bill
What was the precursor of Medicare and Medicaid? - Social security passed in 1935
What are the three main goals of ACA? - expand access to health insurance, reduce
healthcare costs, support innovative delivery methods
What area *medicare or medicaid* was improved by the ACA? - medicare
How many children were on CHIP as of Feb 2020? - 6 million
What year was medicare and medicaid formed? - 1965
What areas can Mezzo interactions influence? - organizations, schools, buisnesses
and political relms
What areas do Macro interactions influence? - interactions between healthcare workers
and patients/support systems of patients
What do macro indentify and influence? - systemic cause of health disparities (not the
indiviual)
What is the foundational reimbursement model used during the establishment of the
Medicare and Medicaid programs. - Fee for service
if a patient is readmitted to the hospital within 30 days for the same diagnosis, the
hospital will receive a reduced payment - 30 day policy under value based healthcare
Which fee-for-service model are lump-sum payments paid by nonprofit, for profit, and
medical organizations? - membership fees
What is an advantage of FFS? - being able to have a flexible schedule
, How many conditions do DRG classify? - 450
Which provision of value-based care is important when coordinating care for a patient
with end-stage renal disease? - provide the best care at the lowest cost
Which action could a healthcare coordinator take when providing value-based care to
an obese patient? - 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? - This model provides incentives to
providers based on positive outcomes
What are the four types of value based models? - share risks, bundles, global
capitation, and shared savings
environment consists of trends and changes in various areas, including inflation,
employment, economics, and GDP. - macro trend
enacted, administered, and enforced by the government (federal, state, and local) -
laws and rules
Centers for Medicare and Medicaid Services (CMS) sets quality standards for what
areas? - standards for nursing homes and hospitals, diagnostic standards and billing
codes
How does CMS evaluate nursing homes? - rates the quality of US nursing homes
through the Star rating program
What standards are established (Medicaid) through CMS? - billing, diagnostic, and
national policy standards
What does the state level do with these standards? - implementation, provision, and
day-to-day administration
What is the CDC part of? - US public health service
What is the main goal of the CDC? - standards surrounding control, detection, and
prevention of communicable diseases while responding to public health emergencies
Office for Civil Rights ensures what? - all individuals receiving services from HHS
administered systems or programs are not subject to unlawful discrimination; privacy
violations, enforces laws/regulations regarding sex, religion and race
This agency not only detects waste, fraud, and abuse; it also works with federal and
state law enforcement agencies to prosecute individuals or organizations that have
AMERICA D050 WITH 100% VERIFIED
SOLUTIONS
When was healthcare first created in the United States? - 1798 Act for Relief of the
Sick and Disabled Seaman
What was created in 1915? - American Association for Labor Legislation... created in
the model bill
What was the precursor of Medicare and Medicaid? - Social security passed in 1935
What are the three main goals of ACA? - expand access to health insurance, reduce
healthcare costs, support innovative delivery methods
What area *medicare or medicaid* was improved by the ACA? - medicare
How many children were on CHIP as of Feb 2020? - 6 million
What year was medicare and medicaid formed? - 1965
What areas can Mezzo interactions influence? - organizations, schools, buisnesses
and political relms
What areas do Macro interactions influence? - interactions between healthcare workers
and patients/support systems of patients
What do macro indentify and influence? - systemic cause of health disparities (not the
indiviual)
What is the foundational reimbursement model used during the establishment of the
Medicare and Medicaid programs. - Fee for service
if a patient is readmitted to the hospital within 30 days for the same diagnosis, the
hospital will receive a reduced payment - 30 day policy under value based healthcare
Which fee-for-service model are lump-sum payments paid by nonprofit, for profit, and
medical organizations? - membership fees
What is an advantage of FFS? - being able to have a flexible schedule
, How many conditions do DRG classify? - 450
Which provision of value-based care is important when coordinating care for a patient
with end-stage renal disease? - provide the best care at the lowest cost
Which action could a healthcare coordinator take when providing value-based care to
an obese patient? - 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? - This model provides incentives to
providers based on positive outcomes
What are the four types of value based models? - share risks, bundles, global
capitation, and shared savings
environment consists of trends and changes in various areas, including inflation,
employment, economics, and GDP. - macro trend
enacted, administered, and enforced by the government (federal, state, and local) -
laws and rules
Centers for Medicare and Medicaid Services (CMS) sets quality standards for what
areas? - standards for nursing homes and hospitals, diagnostic standards and billing
codes
How does CMS evaluate nursing homes? - rates the quality of US nursing homes
through the Star rating program
What standards are established (Medicaid) through CMS? - billing, diagnostic, and
national policy standards
What does the state level do with these standards? - implementation, provision, and
day-to-day administration
What is the CDC part of? - US public health service
What is the main goal of the CDC? - standards surrounding control, detection, and
prevention of communicable diseases while responding to public health emergencies
Office for Civil Rights ensures what? - all individuals receiving services from HHS
administered systems or programs are not subject to unlawful discrimination; privacy
violations, enforces laws/regulations regarding sex, religion and race
This agency not only detects waste, fraud, and abuse; it also works with federal and
state law enforcement agencies to prosecute individuals or organizations that have
