WGU D391 Healthcare Ecosystems
OA VERIFIED EXAM 2025/2026
COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS!!
The whole structure that supports healthcare provision - CORRECT ANSWERS-
Healthcare Ecosystem
An organization of individuals, institutions and resources that deliver services to clients -
CORRECT ANSWERS-Healthcare System
A group of people with a common interest, especially in a buisness - CORRECT
ANSWERS-Stakeholders
The 5 P's of the US Healthcare Ecosystem - CORRECT ANSWERS-Patient's
Providers
Professional Administrators
Policymakers
Payers
The most common consumer - CORRECT ANSWERS-Patient
The primary goal of the healthcare ecosystem - CORRECT ANSWERS-To raise the
standard of healthcare offered to members.
What are the fundamental components of a healthcare system? - CORRECT
ANSWERS-Organization, funding, and delivery
What is an example of an advanced practice professional?
A registered nurse
A healthcare administrator
A nurse practitioner
A care coordinator - CORRECT ANSWERS-A nurse practitioner
What do health services include? - CORRECT ANSWERS-Emergency, preventative,
rehabilitative, long-term, hospital, diagnostic, primary, palliative, and home care.
,Why is cultural competence important in health services?
Because it creates competition between providers
Because it avoids conflicts with the client
Because the hospital can charge for this type of service
Because clients' values and preferences will be respected - CORRECT ANSWERS-
Because client's values and preferences will be respected
Which of the following is a component of the Quadruple Aim of healthcare?
Patients of low socioeconomic populations receive less care than other populations.
It aims to improve the overall health of a given population.
Increase the working hours for health professionals.
Utilization of as many resources as possible - CORRECT ANSWERS-It aims to improve
the overall health of a given population
What are the Providers? - CORRECT ANSWERS-A person or institution that performs a
service
Health and Human Services
Diagnostic/Lab Techs
Doctors, Mid-level Providers, and Nurses
Mental Health providers (occupational and physical)
Focuses on physical health, enables clients to perform daily activities such as bathing or
dressing - CORRECT ANSWERS-Therapists; Occupational Therapy
Mental Health Providers - CORRECT ANSWERS-Evaluates a person's mental health
Examples of mental health providers - CORRECT ANSWERS-Psychiatrist (specialize in
mental health-can prescribe meds), Psychologist (study of the human mind and
behavior, provides counseling, cannot prescribe meds)
Clinical Social Workers - CORRECT ANSWERS-Provides assessments, diagnose and
counseling
Five institutional providers - CORRECT ANSWERS-1.Primary Care (a core component
of healthcare delivery)
2.Post acute short-term care (provide nursing and physical therapy services so clients
can become more independent after medical services)
3.Hospitals (In-Patient- offer medical, surgical, and nursing care to those who are ill or
injured)
4.Long-term care (include nursing homes, assisted living facilities, and retirement
communities, is to provide clients with a superior quality of life)
5.Institutional providers (Hospital, Critical Care, Skilled nursing facility, Home Health
Agency, Hospice)
What does primary care offer? - CORRECT ANSWERS-Mental health services
Psychiatric
,Laboratory integrated
Pharmacy services
Who monitors payers organizations, accredits health insurance companies? -
CORRECT ANSWERS-National Committee for Quality Assurance (NCQA)
Who helps improve and monitor providers' quality of care? - CORRECT ANSWERS-
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
What government organization that protects consumers from harm.
Is responsible for ensuring that states and national health regulations are enforced? -
CORRECT ANSWERS-U.S. Department of Health and Human Services
Who Increased the number of beds, improved the distribution of those beds and
improved the quality of hospital facilities? - CORRECT ANSWERS-The Hill Burton-Act
(The Hospital Survey and Construction Act of 1946
Ensures the privacy of people's protected information (PHI) - CORRECT ANSWERS-
The Health Insurance Portability and Accountability Act of 1996
Paying the practitioner or hospital a fixed amount for a specific service - CORRECT
ANSWERS-Capitation
The Balanced Budget Act of 1997 - CORRECT ANSWERS-Known as Medicare
Advantage and CHIP, designed to balance the federal budget
When was Medicare and Medicaid established? - CORRECT ANSWERS-Established in
1965 under the title XVII and Title XIX of the Social Security Act
Federally funded nonprofit health centers or clinics that serve medically underserved
areas and populations. Federally qualified health centers provide primary care services
to undeserved populations - CORRECT ANSWERS-Federally Qualified Health Center
(FQHC)
Who is responsible for ensuring that regulations for Medicare and Medicaid are
enforced? - CORRECT ANSWERS-Centers for Medicare and Medicaid Services (CMS)
Who licenses providers and makes state laws for health? - CORRECT ANSWERS-
State Department of Health
An Approach to delivering high quality, cost-effective primary care (Keiser Permanente)
- CORRECT ANSWERS-Patient Centered Medical Home (PCMH)
Five Main Funding Models - CORRECT ANSWERS-1.Self-Funded
2.Bismark
3.Beveridge
, 4.National Health Insurance
5.Bis-Bev
Patient Safety and Quality Improvement Act of 2005 (PSQIA) - CORRECT ANSWERS-
Sought to promote a culture of safety and encouraged the development of quality
improvement strategies
Affordable Care Act of 2010 (ACA) - CORRECT ANSWERS-To move the US system to
a universal coverage.
Expanded Medicaid and CHIP.
Established requirements for Indviduals and businesses to buy and provide coverage.
Provided government subsidies to assist with those requirements.
Introduced health insurance exchanges to help consumers compare and purchase
insurance plans.
Supported healthcare deliver and payment.
The Hospital Readmissions Reduction Program (HRRP) - CORRECT ANSWERS-
Financially penalizes hospitals that have higher-than-expected 30-day readmission
rates
Moral Hazards - CORRECT ANSWERS-When an individual incurs no consequence for
a decision allowing for extravagant choices such as using more medical services than
necessary
In 1973, to address the rising cost of health insurance, the Nixon Administration
promoted a new model called - CORRECT ANSWERS-Health maintenance
organizations (HMOs)
The abolishment of the Fee-For-Service came with the - CORRECT ANSWERS-
Affordable Care Act of 2010 (ACA)
Adverse Selection - CORRECT ANSWERS-is where a consumer does not purchase
health insurance until they need coverage.
Value-Based-Care - CORRECT ANSWERS-Provider of service awards for quality
patient care
Wellness and prevention - CORRECT ANSWERS-Reduce cost and improve patient
outcomes
Which is a single-payer model?
The National Health Insurance Model
The Bismarck Model
The equity model
Market-driven healthcare - CORRECT ANSWERS-The National Health Insurance
Model
OA VERIFIED EXAM 2025/2026
COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS!!
The whole structure that supports healthcare provision - CORRECT ANSWERS-
Healthcare Ecosystem
An organization of individuals, institutions and resources that deliver services to clients -
CORRECT ANSWERS-Healthcare System
A group of people with a common interest, especially in a buisness - CORRECT
ANSWERS-Stakeholders
The 5 P's of the US Healthcare Ecosystem - CORRECT ANSWERS-Patient's
Providers
Professional Administrators
Policymakers
Payers
The most common consumer - CORRECT ANSWERS-Patient
The primary goal of the healthcare ecosystem - CORRECT ANSWERS-To raise the
standard of healthcare offered to members.
What are the fundamental components of a healthcare system? - CORRECT
ANSWERS-Organization, funding, and delivery
What is an example of an advanced practice professional?
A registered nurse
A healthcare administrator
A nurse practitioner
A care coordinator - CORRECT ANSWERS-A nurse practitioner
What do health services include? - CORRECT ANSWERS-Emergency, preventative,
rehabilitative, long-term, hospital, diagnostic, primary, palliative, and home care.
,Why is cultural competence important in health services?
Because it creates competition between providers
Because it avoids conflicts with the client
Because the hospital can charge for this type of service
Because clients' values and preferences will be respected - CORRECT ANSWERS-
Because client's values and preferences will be respected
Which of the following is a component of the Quadruple Aim of healthcare?
Patients of low socioeconomic populations receive less care than other populations.
It aims to improve the overall health of a given population.
Increase the working hours for health professionals.
Utilization of as many resources as possible - CORRECT ANSWERS-It aims to improve
the overall health of a given population
What are the Providers? - CORRECT ANSWERS-A person or institution that performs a
service
Health and Human Services
Diagnostic/Lab Techs
Doctors, Mid-level Providers, and Nurses
Mental Health providers (occupational and physical)
Focuses on physical health, enables clients to perform daily activities such as bathing or
dressing - CORRECT ANSWERS-Therapists; Occupational Therapy
Mental Health Providers - CORRECT ANSWERS-Evaluates a person's mental health
Examples of mental health providers - CORRECT ANSWERS-Psychiatrist (specialize in
mental health-can prescribe meds), Psychologist (study of the human mind and
behavior, provides counseling, cannot prescribe meds)
Clinical Social Workers - CORRECT ANSWERS-Provides assessments, diagnose and
counseling
Five institutional providers - CORRECT ANSWERS-1.Primary Care (a core component
of healthcare delivery)
2.Post acute short-term care (provide nursing and physical therapy services so clients
can become more independent after medical services)
3.Hospitals (In-Patient- offer medical, surgical, and nursing care to those who are ill or
injured)
4.Long-term care (include nursing homes, assisted living facilities, and retirement
communities, is to provide clients with a superior quality of life)
5.Institutional providers (Hospital, Critical Care, Skilled nursing facility, Home Health
Agency, Hospice)
What does primary care offer? - CORRECT ANSWERS-Mental health services
Psychiatric
,Laboratory integrated
Pharmacy services
Who monitors payers organizations, accredits health insurance companies? -
CORRECT ANSWERS-National Committee for Quality Assurance (NCQA)
Who helps improve and monitor providers' quality of care? - CORRECT ANSWERS-
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
What government organization that protects consumers from harm.
Is responsible for ensuring that states and national health regulations are enforced? -
CORRECT ANSWERS-U.S. Department of Health and Human Services
Who Increased the number of beds, improved the distribution of those beds and
improved the quality of hospital facilities? - CORRECT ANSWERS-The Hill Burton-Act
(The Hospital Survey and Construction Act of 1946
Ensures the privacy of people's protected information (PHI) - CORRECT ANSWERS-
The Health Insurance Portability and Accountability Act of 1996
Paying the practitioner or hospital a fixed amount for a specific service - CORRECT
ANSWERS-Capitation
The Balanced Budget Act of 1997 - CORRECT ANSWERS-Known as Medicare
Advantage and CHIP, designed to balance the federal budget
When was Medicare and Medicaid established? - CORRECT ANSWERS-Established in
1965 under the title XVII and Title XIX of the Social Security Act
Federally funded nonprofit health centers or clinics that serve medically underserved
areas and populations. Federally qualified health centers provide primary care services
to undeserved populations - CORRECT ANSWERS-Federally Qualified Health Center
(FQHC)
Who is responsible for ensuring that regulations for Medicare and Medicaid are
enforced? - CORRECT ANSWERS-Centers for Medicare and Medicaid Services (CMS)
Who licenses providers and makes state laws for health? - CORRECT ANSWERS-
State Department of Health
An Approach to delivering high quality, cost-effective primary care (Keiser Permanente)
- CORRECT ANSWERS-Patient Centered Medical Home (PCMH)
Five Main Funding Models - CORRECT ANSWERS-1.Self-Funded
2.Bismark
3.Beveridge
, 4.National Health Insurance
5.Bis-Bev
Patient Safety and Quality Improvement Act of 2005 (PSQIA) - CORRECT ANSWERS-
Sought to promote a culture of safety and encouraged the development of quality
improvement strategies
Affordable Care Act of 2010 (ACA) - CORRECT ANSWERS-To move the US system to
a universal coverage.
Expanded Medicaid and CHIP.
Established requirements for Indviduals and businesses to buy and provide coverage.
Provided government subsidies to assist with those requirements.
Introduced health insurance exchanges to help consumers compare and purchase
insurance plans.
Supported healthcare deliver and payment.
The Hospital Readmissions Reduction Program (HRRP) - CORRECT ANSWERS-
Financially penalizes hospitals that have higher-than-expected 30-day readmission
rates
Moral Hazards - CORRECT ANSWERS-When an individual incurs no consequence for
a decision allowing for extravagant choices such as using more medical services than
necessary
In 1973, to address the rising cost of health insurance, the Nixon Administration
promoted a new model called - CORRECT ANSWERS-Health maintenance
organizations (HMOs)
The abolishment of the Fee-For-Service came with the - CORRECT ANSWERS-
Affordable Care Act of 2010 (ACA)
Adverse Selection - CORRECT ANSWERS-is where a consumer does not purchase
health insurance until they need coverage.
Value-Based-Care - CORRECT ANSWERS-Provider of service awards for quality
patient care
Wellness and prevention - CORRECT ANSWERS-Reduce cost and improve patient
outcomes
Which is a single-payer model?
The National Health Insurance Model
The Bismarck Model
The equity model
Market-driven healthcare - CORRECT ANSWERS-The National Health Insurance
Model
