Healthcare Ecosystems D391 WGU - Questions
With Insightful Solutions
What is the healthcare ecosystem? Correct Answer - The
whole structure that supports heathcare
5 P's of US Healthcare? Correct Answer - Patients
Providers
Admin, board members
Policymakers, state and federal agencies
Payers, insurance companies
Healthcare ecosystem Correct Answer - A system composed of
elements that create a community
Healthcare system Correct Answer - the organization of
individuals, institutions, and resources that deliver services to
clients
Stakeholders Correct Answer - A group of people with a
common interest, especially in business
Legislation covers Correct Answer - Patient population
delivery
Operations
Optimization of patient privacy information
Regulates patient costs and insurance
ERISA Correct Answer - Employee Retirement Income Security
Act of 1974
, Employee Retirement Income Security Act of 1974 (ERISA)
Correct Answer - sets standards for pension plan management
and provides federal insurance if pension plans go bankrupt
Children's Health Insurance program (CHIP) 1997 Correct Answer
- Clinton administration
Included in the balance budget act 1997
Provides benefits to children
Varies by state within federal guidelines
MMA Correct Answer - Medicare Prescription Drug,
Improvement, and Modernization Act
MMA (Medicare Prescription Drug Improvement and Modernization
Act) Correct Answer - Most notable was the creation of
Medicare Part D
False Claims Act Correct Answer - When providers file false
claims with insurance companies
Anti-kickback Correct Answer - When a physician receives
financial incentives for referrals or drives a patient to a specific
product or service that is paid for by a federal healthcare program
Affordable Care Act of 2010 goals Correct Answer - Decrease
the number of uninsured
Slow the rising cost of healthcare
Increase the quality and efficiency of healthcare
ACA there were 3 new sources of health insurance Correct Answer
- Expansion of Medicaid
Marketplace or Health Exchanges
Allowing young adults to remain on their parents insurance policy
until 26
With Insightful Solutions
What is the healthcare ecosystem? Correct Answer - The
whole structure that supports heathcare
5 P's of US Healthcare? Correct Answer - Patients
Providers
Admin, board members
Policymakers, state and federal agencies
Payers, insurance companies
Healthcare ecosystem Correct Answer - A system composed of
elements that create a community
Healthcare system Correct Answer - the organization of
individuals, institutions, and resources that deliver services to
clients
Stakeholders Correct Answer - A group of people with a
common interest, especially in business
Legislation covers Correct Answer - Patient population
delivery
Operations
Optimization of patient privacy information
Regulates patient costs and insurance
ERISA Correct Answer - Employee Retirement Income Security
Act of 1974
, Employee Retirement Income Security Act of 1974 (ERISA)
Correct Answer - sets standards for pension plan management
and provides federal insurance if pension plans go bankrupt
Children's Health Insurance program (CHIP) 1997 Correct Answer
- Clinton administration
Included in the balance budget act 1997
Provides benefits to children
Varies by state within federal guidelines
MMA Correct Answer - Medicare Prescription Drug,
Improvement, and Modernization Act
MMA (Medicare Prescription Drug Improvement and Modernization
Act) Correct Answer - Most notable was the creation of
Medicare Part D
False Claims Act Correct Answer - When providers file false
claims with insurance companies
Anti-kickback Correct Answer - When a physician receives
financial incentives for referrals or drives a patient to a specific
product or service that is paid for by a federal healthcare program
Affordable Care Act of 2010 goals Correct Answer - Decrease
the number of uninsured
Slow the rising cost of healthcare
Increase the quality and efficiency of healthcare
ACA there were 3 new sources of health insurance Correct Answer
- Expansion of Medicaid
Marketplace or Health Exchanges
Allowing young adults to remain on their parents insurance policy
until 26
