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
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