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D391 Wgu Exam Study Guide

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D391 WGU EXAM STUDY GUIDE

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D391 WGU EXAM STUDY GUIDE

healthcare ecosystem - Answer -a system composed of elements that create a
community

healthcare system - Answer -an organization of individuals, institutions, and resources
that deliver services to clients

stakeholders - Answer -a group of people with a common interest, especially in a
business

provider - Answer -a person or institution that performs a service; for example, a
healthcare worker performs health services.

healthcare producers - Answer -diverse individuals with various skills and knowledge
who provide services to patients

product - Answer -multiple client services and treatment in the healthcare system

licensure - Answer -education and qualifications for healthcare providers

payers - Answer -individuals or organizations who cover the costs of healthcare
services, either through self-pay or insurance companies

purchasers - Answer -an individual or organization that purchases healthcare coverage
on behalf of their employees

investors - Answer -individuals or organizations who invest in healthcare services

National Committee for Quality Assurance (NCQA) - Answer -monitors payer
organizations

Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Answer -
helps improve and monitor providers' quality of care

U.S. Department of Health and Human Services - Answer -government organization
that protects consumers from harm

government regulations - Answer -helps reduce harm to healthcare patients and
employees

health insurance - Answer -payment for health services

fee-for-service - Answer -providers receive payment for services performed

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