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AHIP AHM-520 Exam Topics

AHIP AHM-520 Exam Overview :

Exam Name: Health Plan Finance and Risk Management
Exam Code: AHM-520
Certifications: AHIP Managed Healthcare Professional Certification
Actual Exam Duration: 90 minutes
Expected no. of Questions in Actual Exam: 60
See Expected Questions: AHIP AHM-520 Expected Questions in Actual Exam

AHIP AHM-520 Exam Objectives :

Section Objectives
Objective 1:
  •     Analyze the role of strategic financial planning in setting a health insurance provider’s future direction
Objective 2:
  •     Gain an understanding of risk, decisions regarding risk assumption, and how health insurance providers control risk
Objective 3:
  •     Compare the difference between stop-loss insurance and stop-loss reinsurance from the perspective of health insurance providers
Objective 4:
  •     Learn about the financial risks for health insurance provider organizations that provide health care services to Medicare and/or Medicaid populations compared to risks within the commercial population
Objective 5:
  •     Distinguish between fully funded and self-funded plans and the increasing role of self-funding in the marketplace
Objective 6:
  •     Discover how to identify claim related components of health insurance providers’ financial statements
Objective 7:
  •     Recognize different reserving methodologies used by health insurance providers
Official Information https://www.ahip.org/courses/courses-governance-and-regulation-ahm-510

Updates in the AHIP AHM-520 Exam Topics:

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