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AHIP Health Plan Finance and Risk Management - AHM-520 real prep

AHM-520
  • Exam Code: AHM-520
  • Exam Name: Health Plan Finance and Risk Management
  • Updated: Sep 01, 2025
  • Q & A: 215 Questions and Answers
  • PDF Version

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  • PDF Price: $59.98
  • AHIP AHM-520 Value Pack

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About AHIP AHM-520: Health Plan Finance and Risk Management

AHIP AHM-520 Exam Syllabus Topics:

TopicDetails
Topic 1
  • Compare the difference between stop-loss insurance and stop-loss reinsurance from the perspective of health insurance providers
Topic 2
  • 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
Topic 3
  • Gain an understanding of risk, decisions regarding risk assumption, and how health insurance providers control risk

Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520

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Who should take the AHM-520 exam

  • Financial executives working with clients looking to maximize their health dollars
  • Case administrators and medical directors who inquire a broader administrative background
  • Medical management employees working in hospitals, health systems, and, health insurance plans
  • Employees who work for health care providers or health insurance plans and want to get the educational background to proceed with a management position in the industry
  • Agents and brokers who expert in life and health insurance
  • Teachers at the school level who teach health care administration

AHM-520 Exam topics

Candidates must know the exam topics before they start of preparation. Because it will really help them in hitting the core. Our AHM-520 exam dumps will include the following topics:

  • Factors of health plans consider when developing and pricing healthcare products.
  • Different Types of risks health plans face and approaches they use to manage them.
  • Fundamental accounting principles associated with a health plan's financial information.
  • Important factors and methods associated with underwriting and rating healthcare benefits.
  • Methods to use financial information to develop a health plan's strategic plan and manage the health plan's cash and capital effectively.
  • Differences between fully funded and self-funded health plans.
  • Method of analyzing and interpreting the results of a health plan's financial statements through the use of financial ratios.
  • Main risks and cost factors associated with the delivery and financing of health-care services under Medicare and Medicaid contracts.

How to book the AHM-520 Exam

These are following steps for registering the AHM-520 exam. Step 1: Visit to AHIP Exam Registration Step 2: Signup/Login to AHIP INSURANCE EDUCATION account Step 3: Search for AHM-520 Exam Certifications Exam Step 4: Select Date, time and confirm with payment method

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