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WGU C425 - Healthcare Delivery Systems, Regulations, And Compliance – Q/A
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WGU C425 - Healthcare Delivery Systems, Regulations, And Compliance – Q/A
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WGU C425 - Healthcare Delivery Systems,Regulations, And Compliance – Q/A
This kind of medicine treats the whole person. (Physical, Mental, Spiritual)
✔️Ans - Holistic
Relatively severe, episodic (short duration) and often treatable ✔️Ans -
Acute
Less severe, but long and continuous. Can be controlled but can lead to
serious complications ✔️Ans - Chronic
The market tells us what type of healthcare we need. If a service is not
being used, there will not be a lot of that particular service. ✔️Ans -
Market Justice
Individual responsibility for health.
Benefits are based on individual purchasing power.
Rationing based on ability to pay.
Limited obligation to the collective good. ✔️Ans - Market Justice
Healthcare viewed as a social resource.
Requires active government involvement.
Single payer system.
Highly controlled by government. ✔️Ans - Social Justice
Ability to pay is inconsequential to receiving medical care.
Right to free medical care.
Everyone entitled to basic package of benefits. ✔️Ans - Social Justic
Three distinct time periods of health care's evolution ✔️Ans - -
Preindustrial Era
-Postindustrial Era
-Corporate Era
Quality care and Access to care is very low in - ✔️Ans - Rural Areas
, Quality of care is lower than typical but access to care is pretty standard in
- ✔️Ans - Urban Areas
Covers only the very poor. ✔️Ans - Medicaid
Covers all elderly persons, nonelderly disabled persons, and nonelderly
persons with end-stage renal disease. ✔️Ans - Medicare
For hospitalization and short-term nursing home stay. Financed through
social security taxes. ✔️Ans - Part A Medicare
For physician and other outpatient services. Subsidized through general
taxes, but participants pay part of the premium costs. ✔️Ans - Part B
Medicare
Nationally uniform program ✔️Ans - Medicare
Program varies from state to state. Income criteria established by states.
✔️Ans - Medicaid
Both ___ and ___ provide financial support to private and public institutions
for biomedical research. ✔️Ans - AHRQ
NIH
A mechanism of providing health care services where a single organization
takes on the management of: Financing, Insurance, Delivery, Payment.
(Supply side rationing) ✔️Ans - Managed Care
The provider is paid a fixed monthly sum per enrollee, often called a per
member, per month (PMPM) payment. ✔️Ans - Capitation
Care rendered to patients who come to the physicians office, clinics, or
outpatient surgery ✔️Ans - Ambulatory Care
A hospital that has achieved specialization and offers a wide scope of
services. These centers often engage in teaching and research. ✔️Ans -
Medical Centers
Creation of medicare and medicaid ✔️Ans - 1965
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